Retrospective survey of long-term results and patient satisfaction with uvulopalatopharyngoplasty for snoring

Hicklin, Lucy A.; Tostevin, Philippa; Dasan, Sunil

doi:10.1258/0022215001906697

Cited by 56 publications

(48 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As a consequence, rhonchopathy and its associated symptoms can be permanently eliminated or substantially decreased in the majority of cases. Patient satisfaction of 75% in our series is within the upper range of 49% [17] to 86% [26] reported in the literature. Besides the inadequate reduction of snoring and postoperative pain, Hicklin et al [17] reported postoperative complications as a particular reason for low patient satisfaction [49%].…”

Section: Discussionsupporting

confidence: 81%

“…Literature data on this is contradictory: Larson et al [18], Verse et al [19] and Hicklin et al [17], but not Boot et al [20] reported an effect of body weight on the results of UPPP. It remains controversial whether the decrease in weight results because of normalization of sleep, daytime sleepiness and appetite or whether the decrease in weight causes less rhonchopathy independently of the UPPP.…”

Section: Discussionmentioning

confidence: 97%

“…Regurgitation (13%), hypersecretion (10%) and disorders of swallowing (9%) were reported most frequently. Hicklin et al [17] investigated the long-term complications by asking a general question without specifically inquiring about particular symptoms. There were complaints about long-term symptoms from 38% of the patients.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients

Röösli

Schneider

Häusler

2006

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

A modified uvulopalatopharyngoplasty (UPPP) was carried out between January 1992 and December 2003 at the ENT Department of the Inselspital in Bern in 146 patients with habitual or complicated rhonchopathy. The operation consisted of a classical tonsillectomy or residual tonsil resection and additional shortening of the uvula. The natural mucosal fold between the uvula and the upper pole of the tonsils was carefully preserved. A wide opening to the rhinopharynx was created by asymmetric suturing of the glossopalantine and pharyngopalatine arches. A retrospective questionnaire with regard to rhonchopathy, phases of apnea, daytime drowsiness, obstruction of nasal breathing, long-term complications and patient satisfaction was used to evaluate the short-term and longterm effectiveness of the modified UPPP as well as the incidence of adverse side effects. Complete postoperative courses were evaluated in 116 patients. Surgical complications were restricted to one case with postoperative hemorrhage. A velum insufficiency or postoperative rhinopharyngeal stenosis did not occur. Eighty-three patients (72%) confirmed a persistent suppression or substantial improvement of the rhonchopathy. Disappearance or decrease of sleep apnea was confirmed in 12 (63%) out of 19 postoperative polysomnographic follow-up investigations. Long-term complications occurred in a total of 27 (23%) of 116 patients. They were confined to minor problems such as dryness of the mouth (n = 12), slight difficulty in swallowing (n = 7), discrete speech disturbances (n = 1), and slight pharyngeal dysesthesias (n = 7) with feeling of a lump in the throat and compulsive clearing of the throat. Eightyfive patients (73%) reported that they were satisfied with the postoperative result even several years after the operation. Looking back, 31 patients (27%) would no longer have the operation performed. The inadequate result of the rhonchopathy was specified as the reason by 21 patients. Ten patients had unpleasant memories of the operation because of intensive postoperative pain. Snoring and apneic phases are suppressed or improved by non-traumatic UPPP in the majority of patients. This effect persisted even years after the operation.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients

Röösli

Schneider

Häusler

2006

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Surgical interventions, which may be considered when less invasive measures have failed, carry the risk of potential complications, and the overall long-term success rate is no more than 50% [9,10]. For many patients with sleepdisordered breathing, especially those with significant simple snoring (apnoea-hypopnoea index <10), there exists no treatment option that is effective, acceptable and justifiable.…”

Section: Introductionmentioning

confidence: 99%

The effect of singing on snoring and daytime somnolence

Pai

Wolf

et al. 2008

Sleep Breath

View full text Add to dashboard Cite

The objective of the study is to compare the prevalence and severity of snoring and daytime somnolence amongst semiprofessional choir singers and non-singers. It is a cross-sectional comparative study and the setting is at a tertiary otorhinolaryngology referral centre. Adult singers were recruited from two mixed-gender choirs in London. The control group consisted of healthy volunteers who do not sing. The weight and height of all participants were measured by a single investigator. A questionnaire was completed by each subject, and the snoring habit section completed by their spouses or partners. The snoring scale score (SSS) and Epworth Sleepiness Scale (ESS) were utilised to assess the severity of snoring and daytime somnolence, respectively. The mean age of the singers was 46.3 years (20:32, males to females) and the control group 43.3 years (23:32, males to females). There was no difference in body mass index (BMI; p = 0.180) and ESS score (p = 0.770) between singers and non-singers. Regression analysis showed no significant relationship between the number of years of singing and ESS score (p = 0.390) although there was a linear relationship between age and SSS for both singers (R (2) = 0.11; p = 0.02) and non-singers (R (2) = 0.20; p = 0.01). Based on the general linear model, singers have significantly lower SSSs compared to non-singers when adjusted for age (p = 0.0147), BMI (p = 0.0389) and both age and BMI (p = 0.0153). Singing practice may have a role in the treatment of snoring but does not appear to influence daytime somnolence.

show abstract

“…Despite numerous approaches to find an adequate surgical treatment for primary snoring, no gold standard exists. Various kinds of surgical procedures are available, most of which have been developed for the treatment of obstructive sleep apnea (OSA): uvulopalatopharyngoplasty [7,8], tonsillectomy [9], laser-assisted uvulopalatoplasty [10], uvulaflap [11,12], soft palate implants [13], or radiofrequency surgery of the tongue base or the soft palate [14][15][16][17][18][19]. Some of these procedures are rather invasive and connected with side effects such as post-operative pain or bleeding or persistent swallowing difficulties [20], whereas others show only moderate efficacy [19].…”

Section: Introductionmentioning

confidence: 99%

Radiofrequency surgery of the tongue base in the treatment of snoring—a pilot study

et al. 2006

View full text Add to dashboard Cite

In a previously published study, a significant reduction of snoring was reported after treatment with radiofrequency surgery of the tongue base in patients suffering from obstructive sleep apnea syndrome. The aim of this study was to investigate the efficacy of radiofrequency surgery of the tongue base in the treatment of primary snoring. Twenty patients suffering from primary snoring (AHI < 10/h, body mass index < 32 kg/m(2)) and an isolated hypertrophic tongue base at clinical examination were enrolled in this clinical trial. The patients underwent bipolar radiofrequency surgery of the tongue base under local anaesthesia. Pre- and post-operative body weight, daytime sleepiness (Epworth sleepiness scale) and snoring scores (visual analogue scales) were evaluated by the patients and their bed partners, respectively. Postoperative follow-up data was collected 6-8 weeks after treatment. A statistically significant reduction of the preoperative snoring levels from 7.5 +/- 2.4 to 6.1 +/- 2.8 was seen after treatment (p < 0.001). Body weight and daytime sleepiness remained unaffected. Only 3 out of 20 patients were satisfied with the result as defined by VAS < 3. Despite statistically significant reduction of the subjective snoring scores after radiofrequency of the tongue base, only minimal clinical improvement was achieved. Only 3 out of 20 patients were satisfied with the results. With regard to the clearly beneficial effect seen in patients with obstructive sleep apnea, this result indicates different pathophysiological principles in the generation of snoring.

show abstract

Retrospective survey of long-term results and patient satisfaction with uvulopalatopharyngoplasty for snoring

Cited by 56 publications

References 7 publications

Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients

Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients

The effect of singing on snoring and daytime somnolence

Radiofrequency surgery of the tongue base in the treatment of snoring—a pilot study

Contact Info

Product

Resources

About