Success of modified Fujita technique uvulopalatoplasty with septoplasty in the management of obstructive sleep apnea syndrome

Abstract

Objective: The aim of this study was to investigate the clinical efficacy of modified Fujita technique uvulopalatoplasty (UPPP) with nasal surgery in patients with simple snoring and obstructive sleep apnea syndrome (OSAS). Methods: A total of 12 consecutive OSAS patients (mean age 46.08±7.16 years) who underwent modified Fujita technique UPPP with nasal surgery were included in the study. Pre and postoperative subjective symptoms and polysomnographic data were compared. Results: Following simultaneous nasal-oropharyngeal surgery, the AHI significantly decreased (from 41.8±22.5 to 19.3±12.6 events per hour; p0.05). Conclusion: Single-staged modified UPPP with nasal surgery is an available and relatively safe surgical approach in OSAS patients with nasal obstruction.

Keywords

• Snoring, obstructive sleep apnea syndrome, nasal obstruction

Obstrüktif uyku apnesi sendromunda septoplasti ile birlikte modifiye Fujita uvulopalatoplasti tekniğinin başarısı

Öz

Amaç: Çalışmanın amacı, basit horlama ve obstrüktif uyku apne sendromu (OUAS) olan kişilerde yumuşak damağa uygulanan modifiye Fujita tekniği ile birlikte aynı seansta uygulanan septoplasti cerrahisinin etkisinin değerlendirilmesidir. Yöntem: Kliniğimizde takip edilen horlama ve OUAS olan 12 hasta çalışmaya dahil edildi. Cerrahi öncesi ve sonrası subjektif semptomlar ve polisomnografi sonuçları değerlendirildi. Bulgular: Saatlik apne hipopne indeks değerleri cerrahi öncesi döneme göre istatistiksel olarak anlamlı biçimde 41.8±22.5'ten 19.3±12.6'ya düştü (p0.05). Sonuç: Yumuşak damağa uygulanan modifiye Fujita tekniği ile birlikte aynı seansta uygulanan septoplasti cerrahileri, basit horlama ve OUAS'de etkilidir.

Anahtar Kelimeler

• Horlama, obstrüktif uyku apnesi sendromu, burun tıkanıklığı

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