Ağır Obstrüktif Uyku Apne Sendromlu Hastalarda Obstrüktif Uyku Apne Sendromlu Hastalarda Tek AşamalıÇok Seviyeli Cerrahi

Öz

Amaç: Çalışmanın amacı ağır obstrüktif uyku apne sendromlu OSAS hastalarda uvulofaringopalatoplasti UPPP ile kombine edilmiş modifi ye dil kökü askısını içeren tek aşamalı çok seviyeli üst hava yolu cerrahisinin etkinliğini araştırmaktır. Gereç ve Yöntemler: Bu prospektif olgu serisi apne–hipopne indeksi AHI >30 olan, orofarengeal ve/veya hipofarengeal obstrüksiyonu olan ve sürekli pozitif hava yolu basıncı – CPAP tedavisini reddeden toplam 50 OSAS hastasını içermektedir. Tüm hastalara preoperatif ve postoperatif altıncı ayda polisomnografi uygulandı. Preoperatif AHI’ de ≥%50 azalma ile birlikte

Anahtar Kelimeler

• Uyku apne, Uvulofaringopalatoplasti, Dil kökü askısı

Single-Stage Multilevel Upper Airway Surgery in Patients with Severe Obstructive Sleep Apnea Syndrome

Abstract

Objective: The aim of this study was to investigate the effi cacy of single–stage multilevel upper airway surgery including modifi ed tongue base suspension mTBS combined with uvulopharyngopalatoplasty UPPP in patients with severe obstructive sleep apnea syndrome OSAS .Material and Methods: This prospective case series includes a total of 50 OSAS patients who had an apnea–hypopnea index AHI >30 with oropharyngeal and/or hypopharyngeal obstruction, and rejected continuous positive airway pressure CPAP therapy. Polysomnography was performed in all subjects preoperatively and at the sixth postoperative month. The surgery was considered to be successful when a ≥50% reduction was obtained in the preoperative AHI and a postoperative AHI of 70 , santral uyku apne sendromu ve postoperatif dönemde kontrol polisomnografi sinin olmaması nedeniyle toplam 10 hasta çalışma dışı bırakıldı. Sonuç olarak 50 hastadan elde edilen veriler prospektif olarak analiz edildi.Tanısal UygulamalarPatients were stratifi ed into two groups according to their surgical outcome successful/unsuccessful , and the main preoperative and postoperative oxygenization parameters were compared again. There were statistically signifi cant improvements in all oxymetric values in patients in the successful group P

Keywords

• Sleep apnea, Uvulopharyngopalatoplasty, Tongue base suspension

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