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The efficacy of laser-assisted uvulopalatoplasty in the treatment of snoring and obstructive sleep apnea

Year 2002, Volume: 9 Issue: 3, 193 - 197, 28.06.2002

Abstract

Objectives: We evaluated the efficacy of laser-assist­ ed uvulopalatoplasty in the treatment of snoring and obstructive sleep apnea syndrome O S A S .Patients and Methods: Laser-assisted uvulopalatoplas­ ty vvas performed in 34 patients 30 males, 4 females; mean age 45.7 years; range 17 to 70 years vvith simple snoring and mild OSAS. The patients vvere evaluated preoperatively and in the first and sixth months postoper- atively vvith the use of the Epvvorth sleepiness scale, polysomnography, and snoring scores. A questionnaire vvas administered to assess patient satisfaction.Ftesults: AH patients had decreased snoring. The guality of sleep increased in 79%. The clinical improvement seen in the first month continued through the sixth postoperative month. Satisfaction rates for the patients and their families vvere 88% and 85%, respectively. Significant decreases vvere found in the Epvvorth sleepiness scale p=0.000 and visual snoring scores p<0.001 . İn addition, postoperative desaturation indices decreased and minimal desaturation levels increased. Hovvever, no significant decreases occurred in the apnea/hypopnea index. No complications vvere encountered during and after operation.Conclusion: Laser-assisted uvulopalatoplasty has high efficacy in the treatment of snoring and mild OSAS, vvith such additional advantages as ease, lovv complication rate, and no need for hospitalization.

References

  • Öğretmenoğlu O. Horlama ve obstrüktif sleep apne sendromu (OSAS). Aktüel Tıp 2000;5:33-9.
  • Lugaresi E, Cirignotta F, Coccagna G, Piana C. Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 1980;3:221-4.
  • Carenfelt C. Laser uvulopalatoplasty in treatment of habitual snoring. Ann Otol Rhinol Laryngol 1991;100: 451-4.
  • Koskenvuo M, Kaprio J, Telakivi T, Partinen M, Heikkila K, Sarna S. Snoring as a risk factor for ischaemic heart disease and stroke in men. Br Med J (Clin Res Ed) 1987;294:16-9.
  • Neruntarat C. Laser-assisted uvulopalatoplasty: short- term and long-term results. Otolaryngol Head Neck Surg 2001;124:90-3.
  • Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46:85-90.
  • Guilleminault C. Clinical features and evaluation of o b s t ructive sleep apnea. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 1st ed. Philadelphia: W.B. Saunders; 1989. p. 552-8.
  • Borowiecki B, Pollak CP, Weitzman ED, Rakoff S, Imperato J. Fibro-optic study of pharyngeal airway during sleep in patients with hypersomnia obstructive sleep-apnea syndrome. Laryngoscope 1978;88(8 Pt 1): 1310-3.
  • Horner RL, Shea SA, McIvor J, Guz A. Pharyngeal size and shape during wakefulness and sleep in patients with obstructive sleep apnoea. Q J Med 1989;72:719-35.
  • Ryan CF, Lowe AA, Li D, Fleetham JA. Thre e - d i m e n- sional upper airway computed tomography in obstru c- tive sleep apnea. A prospective study in patients tre a t- ed by uvulopalatopharyngoplasty. Am Rev Respir Dis 1 9 9 1 ; 1 4 4 : 4 2 8 - 3 2 .
  • Kamami YV. Laser CO2for snoring. Pre l i m i n a r y results. Acta Otorhinolaryngol Belg 1990;44:451-6.
  • Kamami YV. Outpatient treatment of snoring with CO2laser: laser-assisted UPPP. J Otolaryngol 1994;23: 391-4.
  • Fujita S, Conway WA, Zorick FJ, Sicklesteel JM, Roehrs TA, Wittig RM, et al. Evaluation of the effectiveness of u v u l o p a l a t o p h a r y n g o p l a s t y. Laryngoscope 1985;95:70-4.
  • Ellis PD, Williams JE, Shneerson JM. Surgical relief of snoring due to palatal flutter: a preliminary report. Ann R Coll Surg Engl 1993;75:286-90.
  • Cheng DS, Weng JC, Yang PW, Cheng LH. Carbon dioxide laser surgery for snoring: results in 192 patients. Otolaryngol Head Neck Surg 1998;118:486-9.
  • K respi YP, Pearlman SJ, Keidar A. Laser- a s s i s t e d uvula-palatoplasty for snoring. J Otolaryngol 1994;23: 328-34.
  • Wareing MJ, Callanan VP, Mitchell DB. Laser-assisted uvulopalatoplasty: six and eighteen month results. J Laryngol Otol 1998;112:639-41.
  • Macnab T, Blokmanis A, Dickson RI. Long-term results of uvulopalatopharyngoplasty for snoring. J Otolaryngol 1 9 9 2 ; 2 1 : 3 5 0 - 4 .

Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi

Year 2002, Volume: 9 Issue: 3, 193 - 197, 28.06.2002

Abstract

Amaç: Horlama ve uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin LAUP etkinliği değerlendirildi.Hastalar ve Yöntem: Basit horlama ve hafif tıkayıcı uyku apnesi sendromu TUAS saptanan 34 hastaya LAUP uygulandı. Ameliyat sonrası birinci ve altıncı aylarda eldeedilen Epworth uyku skalası, polisomnografik değerlerve horlama skorları, ameliyat öncesi değerlerle karflılafltırıldı. Ayrıca, hasta memnuniyetini değerlendirmeyeyönelik sorulardan oluflan bir anket uygulandı.Bulgula r : Tüm hastaların horlamalarında azalma ve uyku kalitelerinde artıfl %79 saptandı. Ameliyat sonrası birinci aydaki klinik bafları, altıncı ayda da devam etti. Hasta ve yakınlarının sonuçlardan memnuniyet oranı sırasıyla %88 ve %85 bulundu. Epworth p=0.000 ve görselhorlama skorlarında p

References

  • Öğretmenoğlu O. Horlama ve obstrüktif sleep apne sendromu (OSAS). Aktüel Tıp 2000;5:33-9.
  • Lugaresi E, Cirignotta F, Coccagna G, Piana C. Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 1980;3:221-4.
  • Carenfelt C. Laser uvulopalatoplasty in treatment of habitual snoring. Ann Otol Rhinol Laryngol 1991;100: 451-4.
  • Koskenvuo M, Kaprio J, Telakivi T, Partinen M, Heikkila K, Sarna S. Snoring as a risk factor for ischaemic heart disease and stroke in men. Br Med J (Clin Res Ed) 1987;294:16-9.
  • Neruntarat C. Laser-assisted uvulopalatoplasty: short- term and long-term results. Otolaryngol Head Neck Surg 2001;124:90-3.
  • Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46:85-90.
  • Guilleminault C. Clinical features and evaluation of o b s t ructive sleep apnea. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 1st ed. Philadelphia: W.B. Saunders; 1989. p. 552-8.
  • Borowiecki B, Pollak CP, Weitzman ED, Rakoff S, Imperato J. Fibro-optic study of pharyngeal airway during sleep in patients with hypersomnia obstructive sleep-apnea syndrome. Laryngoscope 1978;88(8 Pt 1): 1310-3.
  • Horner RL, Shea SA, McIvor J, Guz A. Pharyngeal size and shape during wakefulness and sleep in patients with obstructive sleep apnoea. Q J Med 1989;72:719-35.
  • Ryan CF, Lowe AA, Li D, Fleetham JA. Thre e - d i m e n- sional upper airway computed tomography in obstru c- tive sleep apnea. A prospective study in patients tre a t- ed by uvulopalatopharyngoplasty. Am Rev Respir Dis 1 9 9 1 ; 1 4 4 : 4 2 8 - 3 2 .
  • Kamami YV. Laser CO2for snoring. Pre l i m i n a r y results. Acta Otorhinolaryngol Belg 1990;44:451-6.
  • Kamami YV. Outpatient treatment of snoring with CO2laser: laser-assisted UPPP. J Otolaryngol 1994;23: 391-4.
  • Fujita S, Conway WA, Zorick FJ, Sicklesteel JM, Roehrs TA, Wittig RM, et al. Evaluation of the effectiveness of u v u l o p a l a t o p h a r y n g o p l a s t y. Laryngoscope 1985;95:70-4.
  • Ellis PD, Williams JE, Shneerson JM. Surgical relief of snoring due to palatal flutter: a preliminary report. Ann R Coll Surg Engl 1993;75:286-90.
  • Cheng DS, Weng JC, Yang PW, Cheng LH. Carbon dioxide laser surgery for snoring: results in 192 patients. Otolaryngol Head Neck Surg 1998;118:486-9.
  • K respi YP, Pearlman SJ, Keidar A. Laser- a s s i s t e d uvula-palatoplasty for snoring. J Otolaryngol 1994;23: 328-34.
  • Wareing MJ, Callanan VP, Mitchell DB. Laser-assisted uvulopalatoplasty: six and eighteen month results. J Laryngol Otol 1998;112:639-41.
  • Macnab T, Blokmanis A, Dickson RI. Long-term results of uvulopalatopharyngoplasty for snoring. J Otolaryngol 1 9 9 2 ; 2 1 : 3 5 0 - 4 .
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mustafa Özdemir This is me

Meryem Nesil Keleş Türel This is me

Emre Yücel This is me

Çağlar Çuhadaroğlu This is me

Kemal Değer This is me

Publication Date June 28, 2002
Published in Issue Year 2002 Volume: 9 Issue: 3

Cite

APA Özdemir, M., Keleş Türel, M. N., Yücel, E., Çuhadaroğlu, Ç., et al. (2002). Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi. The Turkish Journal of Ear Nose and Throat, 9(3), 193-197.
AMA Özdemir M, Keleş Türel MN, Yücel E, Çuhadaroğlu Ç, Değer K. Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi. Tr-ENT. June 2002;9(3):193-197.
Chicago Özdemir, Mustafa, Meryem Nesil Keleş Türel, Emre Yücel, Çağlar Çuhadaroğlu, and Kemal Değer. “Horlama Ve tıkayıcı Uyku Apnesi Tedavisinde Laser-Assisted Uvulopalatoplastinin etkinliğinin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 9, no. 3 (June 2002): 193-97.
EndNote Özdemir M, Keleş Türel MN, Yücel E, Çuhadaroğlu Ç, Değer K (June 1, 2002) Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi. The Turkish Journal of Ear Nose and Throat 9 3 193–197.
IEEE M. Özdemir, M. N. Keleş Türel, E. Yücel, Ç. Çuhadaroğlu, and K. Değer, “Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi”, Tr-ENT, vol. 9, no. 3, pp. 193–197, 2002.
ISNAD Özdemir, Mustafa et al. “Horlama Ve tıkayıcı Uyku Apnesi Tedavisinde Laser-Assisted Uvulopalatoplastinin etkinliğinin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 9/3 (June 2002), 193-197.
JAMA Özdemir M, Keleş Türel MN, Yücel E, Çuhadaroğlu Ç, Değer K. Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi. Tr-ENT. 2002;9:193–197.
MLA Özdemir, Mustafa et al. “Horlama Ve tıkayıcı Uyku Apnesi Tedavisinde Laser-Assisted Uvulopalatoplastinin etkinliğinin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 3, 2002, pp. 193-7.
Vancouver Özdemir M, Keleş Türel MN, Yücel E, Çuhadaroğlu Ç, Değer K. Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi. Tr-ENT. 2002;9(3):193-7.