Palatal Pillar implants for the treatment of simple snoring

Yıl 2009, Cilt: 19 Sayı: 5, 239 - 245, 23.10.2009

Ozan Seymen Sezen Hande Kaytancı Banu Salepçi Gülfem Yurteri Utku Kubilay Temel Coşkuner Benan Çağlayan Şeref Ünver

Öz

Objectives: In this study the efficacy of palatal implants for treatment of snoring was evaluated. Patients and Methods: Seventeen patients 10 males, 7 females; mean age 49.2±7.8 years; range 31 to 66 years with primary snoring and an apnea-hypopnea index of less than 15 were treated with palatal implants after clinical and endoscopic examination. Snoringrelated symptoms were evaluated at baseline and 90 days after surgery and polysomnography was performed. Patients and their spouses completed questionnaires and visual analog scales VAS evaluating snoring, apneas, and the intensity, duration, and social effects of daytime sleepiness at baseline and 90 days after surgery. Pre- and postoperative assesment results were compared. Results: Epworth sleepiness scale score was significantly decreased in the postoperative period p<0.05 . Postoperative mean VAS snoring, apnea, and daytime sleepiness scores were also significantly improved p<0.01 . No patients reported worsening of apnea, 5.9% of patients reported no change in apnea, and 94.1% of patients reported a marked decrease in apneas. In the postoperative period, 76.4% of patients reported reduced snoring, and 88.3% of patients reported reduced daytime sleepiness. Conclusion: Palatal implants have been demonstrated to be a safe and effective treatment for snoring with minimal patient discomfort. Establishing realistic pretreatment expectations can maximize patient satisfaction.

Anahtar Kelimeler

Palatal implant, sleep apnea syndrome, snoring, snoring treatment

Basit horlama tedavisinde palatal Pillar implantlar

Öz

Amaç: Bu çalışmada horlama tedavisinde palatal implantların etkinliği değerlendirildi.Hastalar ve Yöntemler: Basit horlaması olan ve apne hipopne indeksi 15’in altında bulunan 17 hastaya 10 erkek, 7 kadın; ort yaş 49.2±7.8 yıl; dağılım 31-66 yıl klinik ve endoskopik değerlendirmelerin ardından palatal implant uygulandı. Tedavi başlangıcında ve 90 gün sonrasında horlama ile ilişkili semptomlar değerlendirildi ve hastalara polisomnografi uygulandı. Hastalar ve eşleri, horlamayı, apneyi, gündüz uykululuğunun yoğunluğunu ve süresini değerlendiren formları ve görsel analog skalalarını GAS tedavi başlangıcında ve implant uygulandıktan 90 gün sonra doldurdular. Ameliyat öncesi ve sonrası değerlendirme sonuçları karşılaştırıldı.Bulgular: Hastalarda ameliyat sonrasında Epworth uykululuk skalası skorundaki düşme belirgindi p

Anahtar Kelimeler

Damak implantları, uyku apne sendromu horlama, horlama tedavisi

Kaynakça

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