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Z-palatopharyngoplasty plus radiofrequency tongue base reduction for moderate/severe obstructive sleep apnea/hypopnea syndrome.

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Title: Z-palatopharyngoplasty plus radiofrequency tongue base reduction for moderate/severe obstructive sleep apnea/hypopnea syndrome.
Authors: Lin, Hsin-Ching (AUTHOR), Friedman, Michael (AUTHOR), Chang, Hsueh-Wen (AUTHOR), Su, Mao-Chang (AUTHOR), Wilson, Meghan (AUTHOR)
Source: Acta Oto-Laryngologica. Sep2010, Vol. 130 Issue 9, p1070-1076. 7p. 7 Illustrations, 2 Charts.
Subjects: Sleep apnea syndrome treatment, Nasopharynx, Palate surgery, Uvula, Active oxygen in the body, Analysis of variance, Apnea, Medical records, Health outcome assessment, Snoring, Velopharyngeal insufficiency, Polysomnography, Scale items, Treatment effectiveness, Evaluation, Physiology, Surgery
Abstract: Conclusion: Z-palatopharyngoplasty (ZPPP) combined with radiofrequency to the base of tongue (RFBOT) resulted in short-term morbidity only. This study shows the clinical benefits of ZPPP plus RFBOT in patients with moderate/severe obstructive sleep apnea/hypopnea syndrome (OSAHS). Objective: To study the safety and efficacy of ZPPP combined with RFBOT for the treatment of moderate/severe OSAHS. Methods: Charts of all patients with moderate/severe OSAHS who failed or refused CPAP therapy and underwent surgical treatment of ZPPP plus RFBOT were reviewed. The subjective symptoms and objective polysomnographic parameters were collected preoperatively and postoperatively. Postoperative morbidity was recorded. Results: Forty-three OSAHS patients (2 females, 41 males, mean age 39 years) had full data and a minimum 6 month follow-up to assess efficacy. Intraoperative, short-term, and long-term morbidities are reported. No long-term velopharyngeal insufficiency was encountered. The classical success rate was 60.5% (26/43). Six months after the treatment, the mean Epworth sleepiness scale changed from 12.8 ± 5.1 to 10.0 ± 4.3 ( p = 0.002). The apnea/hypopnea index (/h), lowest oxygen saturation (%), and bed partner assessed snoring visual analog scale (0–10) changed from 51.5 ± 25.4 to 23.4 ± 24.7, 75.5 ± 10.4 to 82.1 ± 10.9, and 8.4 ± 1.6 to 2.9 ± 1.6, respectively (all p < 0.0001, paired t test). [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
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  Data: Z-palatopharyngoplasty plus radiofrequency tongue base reduction for moderate/severe obstructive sleep apnea/hypopnea syndrome.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lin%2C+Hsin-Ching%22&quot;&gt;Lin, Hsin-Ching&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Friedman%2C+Michael%22&quot;&gt;Friedman, Michael&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chang%2C+Hsueh-Wen%22&quot;&gt;Chang, Hsueh-Wen&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Su%2C+Mao-Chang%22&quot;&gt;Su, Mao-Chang&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wilson%2C+Meghan%22&quot;&gt;Wilson, Meghan&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Acta+Oto-Laryngologica%22&quot;&gt;Acta Oto-Laryngologica&lt;/searchLink&gt;. Sep2010, Vol. 130 Issue 9, p1070-1076. 7p. 7 Illustrations, 2 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep+apnea+syndrome+treatment%22&quot;&gt;Sleep apnea syndrome treatment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Nasopharynx%22&quot;&gt;Nasopharynx&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Palate+surgery%22&quot;&gt;Palate surgery&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Uvula%22&quot;&gt;Uvula&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Active+oxygen+in+the+body%22&quot;&gt;Active oxygen in the body&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Analysis+of+variance%22&quot;&gt;Analysis of variance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Apnea%22&quot;&gt;Apnea&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+records%22&quot;&gt;Medical records&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+outcome+assessment%22&quot;&gt;Health outcome assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Snoring%22&quot;&gt;Snoring&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Velopharyngeal+insufficiency%22&quot;&gt;Velopharyngeal insufficiency&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Polysomnography%22&quot;&gt;Polysomnography&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Scale+items%22&quot;&gt;Scale items&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Evaluation%22&quot;&gt;Evaluation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Physiology%22&quot;&gt;Physiology&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Surgery%22&quot;&gt;Surgery&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Conclusion: Z-palatopharyngoplasty (ZPPP) combined with radiofrequency to the base of tongue (RFBOT) resulted in short-term morbidity only. This study shows the clinical benefits of ZPPP plus RFBOT in patients with moderate/severe obstructive sleep apnea/hypopnea syndrome (OSAHS). Objective: To study the safety and efficacy of ZPPP combined with RFBOT for the treatment of moderate/severe OSAHS. Methods: Charts of all patients with moderate/severe OSAHS who failed or refused CPAP therapy and underwent surgical treatment of ZPPP plus RFBOT were reviewed. The subjective symptoms and objective polysomnographic parameters were collected preoperatively and postoperatively. Postoperative morbidity was recorded. Results: Forty-three OSAHS patients (2 females, 41 males, mean age 39 years) had full data and a minimum 6 month follow-up to assess efficacy. Intraoperative, short-term, and long-term morbidities are reported. No long-term velopharyngeal insufficiency was encountered. The classical success rate was 60.5% (26/43). Six months after the treatment, the mean Epworth sleepiness scale changed from 12.8 &#177; 5.1 to 10.0 &#177; 4.3 ( p = 0.002). The apnea/hypopnea index (/h), lowest oxygen saturation (%), and bed partner assessed snoring visual analog scale (0–10) changed from 51.5 &#177; 25.4 to 23.4 &#177; 24.7, 75.5 &#177; 10.4 to 82.1 &#177; 10.9, and 8.4 &#177; 1.6 to 2.9 &#177; 1.6, respectively (all p &lt; 0.0001, paired t test). [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Acta Oto-Laryngologica is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3109/00016481003606240
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1070
    Subjects:
      – SubjectFull: Sleep apnea syndrome treatment
        Type: general
      – SubjectFull: Nasopharynx
        Type: general
      – SubjectFull: Palate surgery
        Type: general
      – SubjectFull: Uvula
        Type: general
      – SubjectFull: Active oxygen in the body
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Apnea
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Snoring
        Type: general
      – SubjectFull: Velopharyngeal insufficiency
        Type: general
      – SubjectFull: Polysomnography
        Type: general
      – SubjectFull: Scale items
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Physiology
        Type: general
      – SubjectFull: Surgery
        Type: general
    Titles:
      – TitleFull: Z-palatopharyngoplasty plus radiofrequency tongue base reduction for moderate/severe obstructive sleep apnea/hypopnea syndrome.
        Type: main
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          Name:
            NameFull: Lin, Hsin-Ching
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            NameFull: Friedman, Michael
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            NameFull: Chang, Hsueh-Wen
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            NameFull: Su, Mao-Chang
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            NameFull: Wilson, Meghan
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            – D: 01
              M: 09
              Text: Sep2010
              Type: published
              Y: 2010
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              Value: 130
            – Type: issue
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            – TitleFull: Acta Oto-Laryngologica
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