Radiofrequency‐assisted uvulopalatoplasty for snoring: Long‐term follow‐up

Stuck, Boris A.

doi:10.1002/lary.20488

Cited by 34 publications

(20 citation statements)

References 16 publications

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“…Severe cases of snoring and apnea are typically treated with one of many surgical methods, mostly involving the uvula and soft palate, and sometimes also the pharynx (e.g., pillar procedure, injection snoreplasty, radiofrequency, and bipolar radiofrequency combined with injection). Some individuals choose not to treat their snoring condition because of numerous limitations, including high risks, costs, side effects, and low success rates of classical nonsurgical and surgical procedures [7,13,14,15,16,17]. …”

Section: Discussionmentioning

confidence: 99%

Er:Yag Laser Treatment of Simple Snorers in an Outpatient Setting

Çetinkaya

Türker

Kiraz

et al. 2016

ORL

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Objective: Snoring occurs as a result of soft tissue vibration caused by a partial upper airway collapse during sleep. This study evaluated the effectiveness and potential adverse side effects associated with the use of a nonsurgical, erbium-doped yttrium aluminum garnet (Er:YAG) laser treatment for patients with snoring conditions. Materials and Methods: In total, 33 patients with different degrees of snoring were analyzed retrospectively. All patients received three NightLase™ Er:YAG laser treatments. Results were measured using a follow-up questionnaire and then statistically analyzed. Any effects that occurred during the first year after treatment (i.e., short-term effects) were followed up with interviews. Results: Laser treatment effectively reduced patients' snoring and achieved a 65% satisfaction rate after three treatments. The greatest improvement and satisfaction were experienced by patients aged ≥50 years. Patients reported additional benefits from this treatment including easier breathing, higher alertness, and increased focus. Conclusion: Nonsurgical Er:YAG laser treatment is an effective and minimally invasive procedure to reduce patient snoring and other sleep-disordered breathing symptoms. Patients reported minimal disadvantages including minor discomfort and a low risk of side effects.

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Section: Discussionmentioning

confidence: 99%

Er:Yag Laser Treatment of Simple Snorers in an Outpatient Setting

Çetinkaya

Türker

Kiraz

et al. 2016

ORL

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“…However, the relapses after RF treatments can be improved with additional sittings as concluded in their study by Powel et al 16 In a prospective study by Stuck et al on radiofrequency assisted UPP for snoring; it was demonstrated that on long term follow up, 21 patients with snoring had received two sessions of RFUPP at the soft palate. 17 Snoring scores were initially reduced from 8.6-1.5 at inclusion to 2.0-2.1 after treatment(p<0.05) at long term follow up. This increase in snoring score was statistically significant (p<0.006).…”

Section: Stuck Et Al Had Performed a Literature Review Of 22 Studiesmentioning

confidence: 87%

Effect of radiofrequency vs other surgeries in the management of obstructive sleep apnoea

Bage

Muthuvel

Kalatharan

2019

Int J Otorhinolaryngol Head Neck Surg

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OSA is clinically associated with obesity epidemic globally, and it is characterized by repetitive, partial or complete collapse of the upper airway during sleep, causing impaired gaseous exchange and sleep ABSTRACT Background: Snoring is an important social problem seen in both men and women. Snoring occurs as a result of soft tissue vibration caused by a partial upper airway collapse during sleep. The aim of the study was to analyse the morbidity and efficacy of radiofrequency thermal ablation of upper airway in patients suffering from OSA. Methods: In the Department of ENT, Pondicherry, 40 patients between the age group of 20 to 60 years who were diagnosed to have OSA were operated according to the site of obstruction including RFVTR. Various parameters including ESS, partner scores, post-op pain, bleeding, pharyngeal dryness voice change were measured accordingly on the 1st day, 45th day, 90th day and 180th day postoperatively for the efficacy of treatment and also for assessing the morbidity of treatment provided. Results: There is a statistically significant reduction in ESS scores and partner scores between pre-operative period and post operatively on the 45th day, 90th day and 180th day. Post-operative pain assessment also showed that patients who underwent RFVTR had lesser pain when compared to other surgeries like zetaplasty, LAUP, etc. Conclusions: Radiofrequency surgery should be considered as the treatment of choice for mild OSA and hypopneic snorers. The important advantage of these procedures is technically simple and minimally invasive. RFTA of the soft palate leaves the mucosa intact contrary to LAUP, hence the pain comparably less. Relatively cost effective when compared to LASER and Coblator.

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“…The value of VAS=three (i.e., a successful treatment outcome) is marked with a dotted line. pat Patient, bedp bed partner, VAS visual analog scale interstitial RF surgery and RF-assisted resection of excessive soft tissue, has demonstrated a significant effect in snoring reduction [9,10], although, associated with an increased morbidity compared to interstitial RF surgery alone. In this series, the pharyngeal webbing did not affect the treatment results of interstitial RF surgery.…”

Section: Discussionmentioning

confidence: 99%

The impact of pretreatment assessment of oropharynx on interstitial soft palate radiofrequency surgery outcome—a multi-center study in patients with habitual snoring

et al. 2011

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Systematic clinical pretreatment oropharyngeal examination scores showed that the increasing grade of the uvula correlated significantly with the short-term post-treatment change in snoring. We suggest that patients with habitual snoring and uvula grade III should be initially treated with SP interstitial RF surgery and concomitant uvular surgery. A grading tool is proposed for oropharyngeal examination to help in the most appropriate treatment decision for each individual snoring patient.

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Radiofrequency‐assisted uvulopalatoplasty for snoring: Long‐term follow‐up

Abstract: After RF-UPP of the soft palate, a relapse in snoring has to be expected at long-term follow-up in a subgroup of patients. At present, there are no prospective parameters which would predict long-term benefit.

Cited by 34 publications

References 16 publications

Er:Yag Laser Treatment of Simple Snorers in an Outpatient Setting

Er:Yag Laser Treatment of Simple Snorers in an Outpatient Setting

Effect of radiofrequency vs other surgeries in the management of obstructive sleep apnoea

The impact of pretreatment assessment of oropharynx on interstitial soft palate radiofrequency surgery outcome—a multi-center study in patients with habitual snoring

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