LUPP relieves partial upper airway obstruction during sleep in patients with velopharyngeal narrowing

Halme, Perttu; Toskala, Elina; Laurikainen, E.; Antila, Jukka; Tsushima, Yoshito; Polo, Olli

doi:10.3109/00016480903311872

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…When local treatments were performed upon both sweet spots within bilateral wounds, relief of dynamic pain could instantly be observed, with the improvement level of 81 AE 23%, 81 AE 21%, 84 AE 19%, and 86 AE 19% on postoperative days 1, 2, 3, and 7, respectively. No significant differences were noted in the improvement of dynamic pain after local treatments upon both sweet spots within bilateral wounds among these 4 days (F (3,51)…”

Section: Resultsmentioning

confidence: 93%

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Dynamic pain after laser‐assisted‐Uvulo‐palatoplasty (LAUP) can instantaneously be mitigated by topical regimens

Lee

Chuang

et al. 2011

Lasers Surg Med

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Section: Resultsmentioning

confidence: 93%

“…Black circle, sweet spot; yellow line, midline separating medial and lateral half of soft palate bilaterally. noted in the improvement of dynamic pain after local treatment upon one single sweet spot among these 4 days (F (3,51)…”

Section: Resultsmentioning

confidence: 98%

Dynamic pain after laser‐assisted‐Uvulo‐palatoplasty (LAUP) can instantaneously be mitigated by topical regimens

Lee

Chuang

et al. 2011

Lasers Surg Med

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“…In recent years, many resective surgical procedures have been proposed, including uvulopalatopharyngoplasty [22] and laser-assisted or radiofrequency-assisted uvulopalatoplasty [23], all of which involve severe postoperative discomfort and morbidity. On the other hand, non-resective techniques, such as radiofrequency soft palate volume reduction, injection scleroplasty, or expensive palatal implants (Pillar ®, , Medtronic, Minneapolis, United States of America), have some drawbacks as they are only transient and require revision [24].…”

Section: Discussionmentioning

confidence: 99%

Barbed Pharyngoplasty for Snoring: Does It Meet the Expectations? A Systematic Review

et al. 2023

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To date, the use of barbed sutures for the surgical management of patients suffering from obstructive sleep apnea and snoring with retropalatal collapse and vibration has significantly increased. A systematic review was carried out, which included clinical studies that used barbed sutures for the treatment of snoring. A qualitative analysis, including six clinical studies, was conducted. Of these, five were studies on barbed pharyngoplasties, and one study involved a minimally invasive surgical procedure. The population consisted of 176 patients, aged 26 to 58 years old. Overall, the included studies showed a mean gain in the snoring Visual Analog Scale of 5.67 ± 1.88, with a mean preoperative value of 8.35 ± 1.17 and a postoperative value of 2.68 ± 1.27. No major complications were described. Given the lack and heterogeneity of this evidence, the conclusion calls for being cautious. In carefully selected snorers and obstructive sleep apnea patients, the use of barbed sutures could represent a valid therapeutic strategy for snoring, ensuring a statistically significant improvement in the subjective parameters. Further studies on a larger scale that assess the role of barbed pharyngoplasties in snoring surgery and more extended follow-up studies are needed in order to confirm these promising results.

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“…By removing redundant tissues (and reconstruction), tonsillectomy/UPPP both decreases the mass effect of the oropharynx and compliance of the soft palate and uvula. 1 In contrast to the poor compliance to continuous positive airway pressure (CPAP), a high success rate can be achieved in select patients in terms of reducing apnea-hypopnea index (AHI) and snoring loudness after surgery. Although the use of energetic instruments such as pulsed electron avalanche knife (PEAK) has to some extent reduced postoperative pain, the safe and effective management of severe pain on swallowing (or dynamic pain) is still a problem in patients receiving tonsillectomy/UPPP due to snoring/OSAS.…”

Section: Introductionmentioning

confidence: 99%

Topical Triamcinolone on “Sweet Spots” to Block Dynamic Pain after Tonsillectomy and Uvulo-Palato-Pharyngo-Plasty

Chen

Niddam

Tung

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: Severe pain on swallowing (or dynamic pain) has long been a problem in patients receiving tonsillectomy and uvulopalatopharyngoplasty for the treatment of obstructive sleep apnea syndrome and/or snoring. We have previously verified that dynamic pain after laser-assisted uvulopalatoplasty could immediately be mitigated by local treatments with topical triamcinolone on the “sweet spots” of the wounds. This study aimed to assess the efficacy of applying triamcinolone on “sweet spot” in surgical incisions instead of whole surgical wounds to alleviate dynamic pain of some oropharyngeal surgeries such as tonsillectomy and uvulopalatopharyngoplasty. Methods: This study is a retrospective case series based on chart review of the participants. Forty-five subjects (31 males; 12~68 years, mean 34 years) with obstructive sleep apnea syndrome and/or snoring treated with tonsillectomy or uvulopalatopharyngoplasty were studied. Local treatments were done to sweet spots with triamcinolone on the 1st, 2nd, 3rd, and 7th days after the surgery. Evaluation of dynamic pain relief was performed by using a visual analogous scale. Results: Sweet spots treatment led to instantaneous reduction of dynamic pain. The average improvement level was ≥72% ( P ≤ .002). No gender effect was noted. Conclusion: Dynamic pain after tonsillectomy and uvulopalatopharyngoplasty could immediately be mitigated by local treatments upon sweet spots. Local treatments upon sweet spots were highly suggested to begin early post-operatively and be included in the take-home routines for patients receiving tonsillectomy and uvulopalatopharyngoplasty.

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LUPP relieves partial upper airway obstruction during sleep in patients with velopharyngeal narrowing

Cited by 4 publications

References 17 publications

Dynamic pain after laser‐assisted‐Uvulo‐palatoplasty (LAUP) can instantaneously be mitigated by topical regimens

Dynamic pain after laser‐assisted‐Uvulo‐palatoplasty (LAUP) can instantaneously be mitigated by topical regimens

Barbed Pharyngoplasty for Snoring: Does It Meet the Expectations? A Systematic Review

Topical Triamcinolone on “Sweet Spots” to Block Dynamic Pain after Tonsillectomy and Uvulo-Palato-Pharyngo-Plasty

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