Indications for Palatopharyngoplasty

Deberry‐Borowiecki, Bernard; Kukwa, Andrzej; Blanks, Robert H. I.

doi:10.1001/archotol.1985.00800120053005

Cited by 56 publications

(14 citation statements)

References 13 publications

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“…22 Inferoposterior (dorsocaudal) placement of the hyoid bone has repeatedly been shown to correlate with SRBA in both children 23 and adults. 9,13,14,17,18,24 In addition, in our study, MPH/GnGo and GnGoH were increased in patients with more severe obstructive symptoms. The overall effects of dorsocaudal hyoid placement include narrowing of the MPAS and decreased mechanical efficiency of the genioglossus muscle protrusor action.…”

Section: Commentsupporting

confidence: 67%

Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction

Finkelstein¹,

Wexler²,

Berger³

et al. 2000

Arch Otolaryngol Head Neck Surg

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A number of anatomical abnormalities may contribute to sleep-related abnormal breathing in otherwise normal children with nasal obstruction. Our results suggest that symptomatic children show some of the same skeletal and soft-tissue configurations that are found in adults with obstructive sleep apnea. While adenoidectomy is generally an effective treatment in children with obstructive sleep-related breathing abnormalities, the underlying craniofacial variances that remain after adenoidectomy may predispose these patients to redevelopment of obstructive breathing abnormalities in adulthood.

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Section: Commentsupporting

confidence: 67%

Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction

Finkelstein¹,

Wexler²,

Berger³

et al. 2000

Arch Otolaryngol Head Neck Surg

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“…In previous studies 3,7,9‐11 the rates of efficacy for UPPP were between 23% and 66%. Although it may not be appropriate to compare the results of this study with the results of previous UPPP studies, LAUP is an attractive surgical procedure for snorers and OSAS patients.…”

Section: Discussionmentioning

confidence: 97%

Laser‐Assisted Uvulopalatoplasty With Nd:YAG Laser for Sleep Disorders

et al. 1996

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We evaluated the apnea index (AI), the oxygen saturation above 95% (SA95), the lowest oxygen saturation (LSAT), and snoring before and after laser-assisted uvulopalatoplasty (LAUP) in 106 patients with obstructive sleep apnea syndrome (n=59) or snoring (n=47). Type 1 LAUP was performed in 42 patients and type 2 LAUP in 64 patients. A 50% or greater reduction in AI was observed in 15 patients (35.7%) who underwent type 1 LAUP and 37 patients (57.8%) who underwent type 2 LAUP. Snoring was diminished in 18 (51.4%) of 35 patients who underwent type 1 LAUP and 30 (55.6%) of 54 patients who underwent type 2 LAUP. SA95 and LSAT showed no difference. No serious complications such as significant bleeding, postoperative episodes of asphyxia, nasopharyngeal stenosis, or nasal regurgitation were observed. LAUP was an effective outpatient treatment.

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“…In these patients, as well as palatal vibration, episodes of obstruction at the VP level were seen. The obstruction was usually a circumferential closure and was associated with an (17) 0 (55) 8 This group of patients exhibited snoring and obstructive episodes. They also exhibited circumferential closure at the VP level during obstructive episodes but unlike group B there was a n associated invohement of the oro/hypopharyngeal area.…”

Section: G R O U P B Single Level Palatal Obstructionmentioning

confidence: 99%

Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea

Croft

Pringle

2009

Clinical Otolaryngology &Amp; Allied Sciences

134

121

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It appears that uvulopalatopharyngoplasty (UVPP) is a reliable procedure for reducing snoring, but much less reliable when used as a treatment for OSAS. This is thought to be because of poor patient selection in that the site of the problem is not always the site of the operation. We present the technique of sleep nasendoscopy which allows direct visualization of the site or sites of obstruction in a sleeping patient. Our study has shown that there are patients with obstructive sleep apnoea syndrome (OSAS) in whom the only site of pharyngeal obstruction is at the velopharynx. These patients should do well with the relatively simple procedure of UVPP. This is not true for many other OSAS patients in whom we found that obstruction was multisegmental. This helps to explain the frequently poor results of UVPP in OSAS patients. We feel that this form of preoperative assessment will avoid unnecessary surgery.

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Indications for Palatopharyngoplasty

Cited by 56 publications

References 13 publications

Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction

Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction

Laser‐Assisted Uvulopalatoplasty With Nd:YAG Laser for Sleep Disorders

Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea

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