Title: Multiple plane operations in the treatment of obstructive sleep apnea hypopnea syndrome
Abstract: Objective To investigate the effect of nasal surgery and multiple plane operations in the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS). Methods Sixty cases with both nasal and oral pharynx obstruction were measured with polysomnography(PSG) and subjective symptoms. All the cases received nasal operations firstly, and PSG 3 months after operations. Those who did not get improvement received tongue base ablation with plasma radiofrequency and H-uvulopalatopharyngoplasty (H-UPPP). All cases were followed up from 6 and 12 months after operations with PSG. Results Nasal operation was effective in 30%(18/60)cases with no recurrence 1 year later.The response rate of the other 42 cases who had undergone the second phase operation was 95.2%(40/42)and 90.5%(38/42)6 and 12 months postoperatively. Both the postoperative apnea hypopnea index and the lowest arterial oxygen saturation were significantly different from those of the preoperative′s. Conclusions Nasal operation was effective for part of OSAHS patients with both nasal and oral pharynx obstruction. The response rate was significantly increased by combined tongue base ablation with plasma radiofrequency and H-UPPP.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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