Title:
Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS
Authors:
S. Gallina*, F. Dispenza**, G. Kulamarva***, A. Ballacchino**** and Riccardo Speciale****
Institutions:
*Dipartimento Neuroscienze Cliniche, U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia; **Dipartimento Discipline Chirurgiche e Oncologiche, U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia; ***ENT Clinic Kasaragod, India; ****Dipartimento Neuroscienze Cliniche, U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia
Keywords:
Snoring; obstructive sleep apnea; tonsillectomy, uvulopalatopharyngoplasty; surgery
Pages:
245 - 250
Abstract:
Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS. Objective: To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome. Methodology: Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. Setting: University ENT division with a tertiary snoring referral center. Participants: Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome. Main outcome measures: Pre- and post-operative cardiopulmonary monitoring during sleep, daytime sleepiness evalua- tion, post-treatment complication recording. Results: Complete response to therapy was obtained in 78% of patients. Four patients had relief of symptoms but retained apnea/hypopnea index scores greater than 5. Conclusions: Uvulopalatopharyngoplasty associated with tonsillectomy can be employed safely to treat patients with normal body mass index who suffer from severe obstructive sleep apnea.
Issue:
Vol. 5, 2009, 4th trimester


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Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS