Evaluation of velopharyngeal function after relocation pharyngoplasty for obstructive sleep apnea

Li, Hsueh‐Yu; Lee, Li‐Ang; Fang, Tuan‐Jen; Lin, Wan‐Ni; Lin, Wen-Ying

doi:10.1002/lary.20850

Cited by 21 publications

(18 citation statements)

References 16 publications

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“…UPPP and other previous palatal surgery techniques (e.g., LAUP, UPF) for OSA were based on ablative techniques to remove the uvula and a significant amount of soft palate tissue. Over the years, these procedures were associated with a high incidence of unfavorable postoperative complications and morbidities [13][14][15][16]. In the short and long term, the most typical problems reported in these patients were dysphagia, rhinolalia, velopharyngeal insufficiency and nasopharyngeal regurgitation, phlegm in throat, and abnormal scarring with velopharyngeal stenosis [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…In the short and long term, the most typical problems reported in these patients are dysphagia, rhinolalia, velopharyngeal insufficiency and nasopharyngeal regurgitation, phlegm in throat, foreign body sensation, and velopharyngeal stenosis. Another important aspect to keep in mind is postoperative pain, especially during swallowing [12][13][14]. These complications were often reported for UPPP and laser-assisted uvulopalatoplasty (LAUP) where major palate resections were performed [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

Iannella

Vallicelli

Magliulo

et al. 2020

IJERPH

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Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

Iannella

Vallicelli

Magliulo

et al. 2020

IJERPH

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“…While most studies have only focused on noise and light modulation, it is crucial to implement effective protocols to modify other environmental factors as well. In a study in Taiwan, Lee et al, reported that enhancing environmental factors such as light and noise by nurses can affect the sleep quality of ICU patients and reduce their sleep disruption (18). In the United States, Martinez et al, found that reducing noise and light, not even as a protocol but generally, could have a positive impact on the sleep quality of ICU patients (19).…”

Section: Introductionmentioning

confidence: 99%

Effect of Eye Masks, Earplugs, and Quiet Time Protocol on Sleep Quality of Patients Admitted to the Cardiac Care Unit: A Clinical Trial Study

et al. 2019

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Background: There are several factors such as noise and light, which affect the sleep quality of patients admitted to the cardiac care unit (CCU) and cause sleep disorders in these individuals. Objectives: The purpose of this study was to compare the impact of applying eye masks and earplugs as well as implementing the quiet time (QT) protocol on the sleep quality of patients hospitalized in the CCU of Ali Ibn Abi Talib Hospital in Zahedan. Methods: This clinical trial was performed on 135 CCU patients. Subjects meeting the inclusion criteria were chosen through convenience sampling. The patients were divided into three groups (control, eye mask and earplugs, and QT protocol) and were matched in terms of background variables. The subjects were studied over three days after admission. On the first night, the patients' sleep quality was determined by the Verran and Snyder-Halpern Sleep Scale (VSH), and on the second and third nights, the interventions (eye mask and earplugs and QT protocol) were administered. The next day, as the post-test, patients' sleep quality was measured again. ANOVA test was used to determine and compare the mean sleep quality of the three groups, and the chi-square test was employed to compare the qualitative variables in the three groups. Results: After the intervention, the mean score of sleep disturbance was significantly different between the control and the two experimental groups. Also, the mean score of sleep efficacy was higher in the eye mask and earplugs group than the other two groups, indicating a better sleep quality in this group. Conclusions: As low-cost devices with no side effects, eye masks and earplugs can improve the quality of sleep in [CCU] patients, and nurses could utilize them to help reduce environmental factors, which disturb patients' sleep.

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“…Among them, palatal surgery is commonly performed as the soft palate is considered to be the major snore sound generator . Relocation pharyngoplasty, a modified uvulopalatopharyngoplasty that advances the soft palate and splints the lateral pharyngeal wall, has been proven to be an safe and effective in the treatment of obstructive sleep apnoea (OSA) . However, the effect of relocation pharyngoplasty on snoring is not fully understood.…”

mentioning

confidence: 99%

“…11,12 Relocation pharyngoplasty, a modified uvulopalatopharyngoplasty that advances the soft palate and splints the lateral pharyngeal wall, has been proven to be an safe and effective in the treatment of obstructive sleep apnoea (OSA). [13][14][15] However, the effect of relocation pharyngoplasty on snoring is not fully understood. This study aimed to demonstrate the objective changes of snoring sound after relocation pharyngoplasty using the Snore Map and correlate these with changes in the apnoea-hypopnoea index (AHI) and subjective snoring questionnaire scores.…”

mentioning

confidence: 99%

Changes of snoring sound after relocation pharyngoplasty for obstructive sleep apnoea: the surgery reduces mean intensity in snoring which correlates well with apnoea–hypopnoea index

Lee

et al. 2015

Clinical Otolaryngology

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Evaluation of velopharyngeal function after relocation pharyngoplasty for obstructive sleep apnea

Abstract: RP for OSA does not cause velopharyngeal insufficiency in terms of voice, nasality, and articulation in spite of anterior advancement of the soft palate, but does induce a nondetrimental change in nasalance.

Cited by 21 publications

References 16 publications

Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

Effect of Eye Masks, Earplugs, and Quiet Time Protocol on Sleep Quality of Patients Admitted to the Cardiac Care Unit: A Clinical Trial Study

Changes of snoring sound after relocation pharyngoplasty for obstructive sleep apnoea: the surgery reduces mean intensity in snoring which correlates well with apnoea–hypopnoea index

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