Uses and complications of uvulopalatopharyngoplasty
Tóm tắt
Uvulopalatopharygoplasty has become widely performed for chronic snoring and for cases of obstructive sleep apnoea. Unfortunately this operation is not without morbidity and complications. We report our results of a prospective series of 50 patients undergoing uvulopalatopharyngoplasty with a minimum follow-up of one year. Snoring was abolished in 18 (36 per cent) and substantially reduced in the remainder. Obstructive sleep apnoea syndrome, identified in 11 patients pre-operatively, was reduced in severity in all but three. Troublesome complications were seen in 18 (36 per cent) patients, namely intermittent velopharyngeal incompetence in five (10 percent), pharyngeal dryness in 11(22 per cent) and loss of taste in five (10 per cent). One patient had nasopharyngeal stenosis requiring correction. A cautious approach to this operation is required with rigorous case selection. The importance of full assessment and careful follow-up should not be underestimated.
Từ khóa
Tài liệu tham khảo
Brown, 1985, Pharyngeal compliance in snoring subjects with and without obstructive sleep apnea, American Review of Respiratory Disease, 132, 211
Colman, 1985, A method of determining the correct amount of palatal resection in palatopharyngoplasty, Laryngoscope, 95, 609, 10.1288/00005537-198505000-00019
Sullivan, 1985, Obstructive sleep apnea, Clinics in Chest Medicine, 6, 633, 10.1016/S0272-5231(21)00401-9
Haponik, 1983, Computerized tomography in obstructive sleep apnoea. Correlation of airway size with physiology during sleep and wakefulness, American Review of Respiratory Disease, 127, 221
Lugaresi, 1978, Snoring and its clinical implications. In: Sleep apnoea syndrome, 13
Colman, 1986, Use of a nasal pharyngeal airway after palatopharyngoplasty in patients with obstructive sleep apnea, Laryngoscope, 96, 212, 10.1288/00005537-198602000-00018