Success of modified Fujita technique uvulopalatoplasty with septoplasty in the management of obstructive sleep apnea syndrome
Öz
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.
Anahtar Kelimeler
Kaynakça
- Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middleaged adults. N Engl J Med 1993;328:1230-5.
- Blumen MB, Dahan S, Fleury B, Hausser-Hauw C, Chabolle F. Radiofrequency ablation for the treatment of mild to moderate obsructive sleep apnea. Laryngoscope 2002;112:2086-92.
- Sher AE. Upper airway surgery for obstructive sleep apnea. Sleep Med Rev 2002;6:195-212.
- Ikematsu T. Study of snoring, 4th report: therapy. Journal of Japanese Otorhinolaryngology 1964;64:434-5.
- Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981; 89:923-34.
- Olszewska E, Rutkowska J, Czajkowska A, Rogowski M. Selected surgical managements in snoring and obstructive sleep apnea patients. Med Sci Monit 2012;18:CR13-18.
- Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991;14:540-5.
- Shepard JW, Olsen KD. Uvulopalatopharyngoplasty for treat- ment of obstuctive sleep apnea. Mayo Clin Proc 1990;65:1260-7.
- Fujita S, Conway W, Zorick FJ, et. al. Evaluation of the efec- tivenes of the uvulopalatopharyngoplasty. Laryngoscope 1985; 95:70-4.
- Maisel RH, Antonelli PJ, Iber C, et al. Uvulopalatopharyngo- plasty for obstructive sleep apnea: a community’s experience. Laryngoscope1992;102:604-6.
- Guilleminault C, Hayes B, Smith L, Simmons FB. Palatop- haryngoplasty and obstructive sleep apnea syndrome. Bull Eur Physiopathol Respir 1983;19:595-9.
- Schoen LS, Anand VK, Weisenberger S. Upper-airway surgery for treating obstructive sleep apnea. Measuring and predicting success. Arch Otolaryngol Head Neck Surg 1987;113:850-3.
- Katsantonis GP, Schweitzer PK, Branham GH, Chambers G, Walsh JK. Management of obstructive sleep apnea: comparison of various treatment modalities. Laryngoscope 1988;98:304-9.
- Lavie P, Zomer J, Eliaschar I, et al. Excessive daytime sleepiness and insomnia. Arch Otolaryngol 1982;108:373-7.
- Cilt/ Volume2 |Sayı/ Issue1 |Nisan/ April 2012 21
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
Kaynakça
- Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middleaged adults. N Engl J Med 1993;328:1230-5.
- Blumen MB, Dahan S, Fleury B, Hausser-Hauw C, Chabolle F. Radiofrequency ablation for the treatment of mild to moderate obsructive sleep apnea. Laryngoscope 2002;112:2086-92.
- Sher AE. Upper airway surgery for obstructive sleep apnea. Sleep Med Rev 2002;6:195-212.
- Ikematsu T. Study of snoring, 4th report: therapy. Journal of Japanese Otorhinolaryngology 1964;64:434-5.
- Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981; 89:923-34.
- Olszewska E, Rutkowska J, Czajkowska A, Rogowski M. Selected surgical managements in snoring and obstructive sleep apnea patients. Med Sci Monit 2012;18:CR13-18.
- Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991;14:540-5.
- Shepard JW, Olsen KD. Uvulopalatopharyngoplasty for treat- ment of obstuctive sleep apnea. Mayo Clin Proc 1990;65:1260-7.
- Fujita S, Conway W, Zorick FJ, et. al. Evaluation of the efec- tivenes of the uvulopalatopharyngoplasty. Laryngoscope 1985; 95:70-4.
- Maisel RH, Antonelli PJ, Iber C, et al. Uvulopalatopharyngo- plasty for obstructive sleep apnea: a community’s experience. Laryngoscope1992;102:604-6.
- Guilleminault C, Hayes B, Smith L, Simmons FB. Palatop- haryngoplasty and obstructive sleep apnea syndrome. Bull Eur Physiopathol Respir 1983;19:595-9.
- Schoen LS, Anand VK, Weisenberger S. Upper-airway surgery for treating obstructive sleep apnea. Measuring and predicting success. Arch Otolaryngol Head Neck Surg 1987;113:850-3.
- Katsantonis GP, Schweitzer PK, Branham GH, Chambers G, Walsh JK. Management of obstructive sleep apnea: comparison of various treatment modalities. Laryngoscope 1988;98:304-9.
- Lavie P, Zomer J, Eliaschar I, et al. Excessive daytime sleepiness and insomnia. Arch Otolaryngol 1982;108:373-7.
- Cilt/ Volume2 |Sayı/ Issue1 |Nisan/ April 2012 21
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2012 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 2 Sayı: 1 |