Same-stage Palatopharyngeal and Hypopharyngeal Surgery for Severe Obstructive Sleep Apnea.
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| Title: | Same-stage Palatopharyngeal and Hypopharyngeal Surgery for Severe Obstructive Sleep Apnea. |
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| Authors: | Hsueh-Yu Li, Pa-Chun Wang, Chung-yao Hsu, Ning-Hung Chen, Li-Ang Lee, Tuan-Jen Fang |
| Source: | Acta Oto-Laryngologica. Sep2004, Vol. 124 Issue 7, p820-826. 7p. |
| Subjects: | Sleep apnea syndromes, Syndromes, Tonsillectomy, Polysomnography, Sleep disorder diagnosis, Tonsils |
| Abstract: | Objectives To investigate surgical outcomes with two types of combined palatopharyngeal and hypopharyngeal surgery for the treatment of severe obstructive sleep apnea (OSA). Material and Methods Twelve consecutive OSA patients with a respiratory disturbance index (RDI) >30/h and Fujita type II anatomy were enrolled. Patients were divided into two groups according to their fiberscopic manifestations. Six patients with obstruction at the uvulopalatal complex and tongue base (Group 1) were selected for extended uvulopalatal flap (EUPF) and midline laser glossectomy (MLG). EUPF and laser lingual tonsillectomy were performed in another six patients shown to have obstruction at the uvulopalatal complex and lingual tonsil (Group 2). Polysomnographic parameters included the RDI and minimal oxygen saturation (MSAT). Surgical success was defined as a postoperative RDI of <20/h and a >50% reduction in the preoperative RDI. Results Six months postoperatively, 5 patients (83.3%) had responded successfully in Group 1 and none in Group 2. In Group 1 the mean RDI decreased from 50.7±12.6 to 8±14.3 (95% CI 23.0-62.7; p< 0.01) and MSAT increased from 76.3%±11.6% to 88.8%±3.2% (95% CI -25.9-0.87; p= 0.06). There was no improvement in sleep parameters in Group 2 patients. No persistent nasal regurgitation, swallowing disturbance or change in taste was noted at 1-year follow-up in either group. Conclusions EUPF combined with MLG improves OSA in Fujita type II patients. The hypertrophic lingual tonsil, although obscure the laryngeal structure, did not contribute significantly to OSA. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 14352084 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Same-stage Palatopharyngeal and Hypopharyngeal Surgery for Severe Obstructive Sleep Apnea. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hsueh-Yu+Li%22">Hsueh-Yu Li</searchLink><br /><searchLink fieldCode="AR" term="%22Pa-Chun+Wang%22">Pa-Chun Wang</searchLink><br /><searchLink fieldCode="AR" term="%22Chung-yao+Hsu%22">Chung-yao Hsu</searchLink><br /><searchLink fieldCode="AR" term="%22Ning-Hung+Chen%22">Ning-Hung Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Li-Ang+Lee%22">Li-Ang Lee</searchLink><br /><searchLink fieldCode="AR" term="%22Tuan-Jen+Fang%22">Tuan-Jen Fang</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Oto-Laryngologica%22">Acta Oto-Laryngologica</searchLink>. Sep2004, Vol. 124 Issue 7, p820-826. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Syndromes%22">Syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Tonsillectomy%22">Tonsillectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Polysomnography%22">Polysomnography</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorder+diagnosis%22">Sleep disorder diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Tonsils%22">Tonsils</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives To investigate surgical outcomes with two types of combined palatopharyngeal and hypopharyngeal surgery for the treatment of severe obstructive sleep apnea (OSA). Material and Methods Twelve consecutive OSA patients with a respiratory disturbance index (RDI) >30/h and Fujita type II anatomy were enrolled. Patients were divided into two groups according to their fiberscopic manifestations. Six patients with obstruction at the uvulopalatal complex and tongue base (Group 1) were selected for extended uvulopalatal flap (EUPF) and midline laser glossectomy (MLG). EUPF and laser lingual tonsillectomy were performed in another six patients shown to have obstruction at the uvulopalatal complex and lingual tonsil (Group 2). Polysomnographic parameters included the RDI and minimal oxygen saturation (MSAT). Surgical success was defined as a postoperative RDI of <20/h and a >50% reduction in the preoperative RDI. Results Six months postoperatively, 5 patients (83.3%) had responded successfully in Group 1 and none in Group 2. In Group 1 the mean RDI decreased from 50.7±12.6 to 8±14.3 (95% CI 23.0-62.7; p< 0.01) and MSAT increased from 76.3%±11.6% to 88.8%±3.2% (95% CI -25.9-0.87; p= 0.06). There was no improvement in sleep parameters in Group 2 patients. No persistent nasal regurgitation, swallowing disturbance or change in taste was noted at 1-year follow-up in either group. Conclusions EUPF combined with MLG improves OSA in Fujita type II patients. The hypertrophic lingual tonsil, although obscure the laryngeal structure, did not contribute significantly to OSA. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/00016480410018034 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 820 Subjects: – SubjectFull: Sleep apnea syndromes Type: general – SubjectFull: Syndromes Type: general – SubjectFull: Tonsillectomy Type: general – SubjectFull: Polysomnography Type: general – SubjectFull: Sleep disorder diagnosis Type: general – SubjectFull: Tonsils Type: general Titles: – TitleFull: Same-stage Palatopharyngeal and Hypopharyngeal Surgery for Severe Obstructive Sleep Apnea. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hsueh-Yu Li – PersonEntity: Name: NameFull: Pa-Chun Wang – PersonEntity: Name: NameFull: Chung-yao Hsu – PersonEntity: Name: NameFull: Ning-Hung Chen – PersonEntity: Name: NameFull: Li-Ang Lee – PersonEntity: Name: NameFull: Tuan-Jen Fang IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2004 Type: published Y: 2004 Identifiers: – Type: issn-print Value: 00016489 Numbering: – Type: volume Value: 124 – Type: issue Value: 7 Titles: – TitleFull: Acta Oto-Laryngologica Type: main |
| ResultId | 1 |
