BibTex RIS Kaynak Göster

Our results with respect to uvulopalatopharyngoplasty in patients with snoring and obstructive sleep apnea syndrome

Yıl 2010, Cilt: 20 Sayı: 1, 33 - 37, 10.01.2010

Öz

Objectives: In this study we evaluated the results of modified uvulopalatopharyngoplasty in patients with snoring and obsructive sleep apnea syndrome. Patients and Methods: Twenty patients 9 females, 11 males; mean age 44.4 years; range 31 to 67 years who were diagnosed to have obstructive sleep apnea syndrome and snoring and who underwent modified uvulopalatopharyngoplasty were evaluated prospectively. The patients were evaluated considering pre- and postoperative symptoms, polysomnography, and Epworth sleepiness scale. Postoperative polysomnography was performed in the 4th month at the earliest and in the 25th month at the latest. Results: With respect to polysomnography, there were no significant differences between pre- and postoperative values except duration of apnea. However, there was significant decrease in postoperative values when compared to preoperative values regarding Epworth sleepiness scale. There were no significant differences between the patients followed up for four to eight months and those followed up for 12 to 25 months. Conclusion: Modified uvulopalatopharyngoplasty may be a method of choice in patients with obstructive sleep apne syndrome who are not compatible with continuous positive airway pressure or oral apparatus.

Kaynakça

  • Barthel SW, Strome M. Snoring, obstructive sleep apnea, and surgery. Med Clin North Am 1999;83:85-96.
  • Lee W, Nagubadi S, Kryger MH, Mokhlesi B. Epidemiology of obstructive sleep apnea: a popula- tion-based perspective. Expert Rev Respir Med 2008; 2:349-364.
  • Findley LJ, Unverzagt ME, Suratt PM. Automobile accidents involving patients with obstructive sleep apnea. Am Rev Respir Dis 1988;138:337-40.
  • Fujita S, Conway W, Zorick F, Roth T. Surgical cor- rection of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923-34.
  • Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnoea by continuous positive air- way pressure applied through the nares. Lancet 1981; 1:862-5.
  • Gliklich RE, Taghizadeh F, Winkelman JW. Health status in patients with disturbed sleep and obstruc- tive sleep apnea. Otolaryngol Head Neck Surg 2000; 122:542-6.
  • Quinn SJ, Daly N, Ellis PD. Observation of the mech- anism of snoring using sleep nasendoscopy. Clin Otolaryngol Allied Sci 1995;20:360-4.
  • Macnab T, Blokmanis A, Dickson RI. Long-term results of uvulopalatopharyngoplasty for snoring. J Otolaryngol 1992;21:350-4.
  • Krespi YP, Pearlman SJ, Keidar A. Laser-assisted uvula- palatoplasty for snoring. J Otolaryngol 1994;23:328-34.
  • Larsson H, Carlsson-Nordlander B, Svanborg E. Long- time follow-up after UPPP for obstructive sleep apnea syndrome. Results of sleep apnea recordings and sub- jective evaluation 6 months and 2 years after surgery. Acta Otolaryngol 1991;111:582-90.
  • Larsson LH, Carlsson-Nordlander B, Svanborg E. Four-year follow-up after uvulopalatopharyngoplasty in 50 unselected patients with obstructive sleep apnea syndrome. Laryngoscope 1994;104:1362-8.
  • Riley R, Guilleminault C, Powell N, Simmons FB. Palatopharyngoplasty failure, cephalometric roent- genograms, and obstructive sleep apnea. Otolaryngol Head Neck Surg 1985;93:240-4.
  • Rivlin J, Hoffstein V, Kalbfleisch J, McNicholas W, Zamel N, Bryan AC. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis 1984;129:355-60.
  • Rojewski TE, Schuller DE, Clark RW, Schmidt HS, Potts RE. Videoendoscopic determination of the mechanism of obstruction in obstructive sleep apnea. Otolaryngol Head Neck Surg 1984;92:127-31.
  • Lundkvist K, Januszkiewicz A, Friberg D. Uvulopalatopharyngoplasty in 158 OSAS patients fail- ing non-surgical treatment. Acta Otolaryngol 2009:1-7. [Epub ahead of print]
  • Vicente E, Marín JM, Carrizo S, Naya MJ. Tongue-base suspension in conjunction with uvulopalatopharyn- goplasty for treatment of severe obstructive sleep apnea: long-term follow-up results. Laryngoscope 2006;116:1223-7.

Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız

Yıl 2010, Cilt: 20 Sayı: 1, 33 - 37, 10.01.2010

Öz

Amaç: Bu çalışmada horlama ve obstrüktif uyku apne sendromlu hastalarda uyguladığımız modifiye uvulopalatofarengoplasti ameliyatı sonuçları değerlendirildi.Hastalar ve Yöntemler: Mart 2007 - Mayıs 2009 tarihleri arasında kliniğimizde horlama ve obstrüktif uyku apne sendromu tanısı konan ve modifiye uvulopalatofarengoplasti ameliyatı uygulanan 20 hasta 9 kadın, 11 erkek; ort. yaş 44.4 yıl; dağılım 31-67 yıl ileriye yönelik olarak değerlendirildi. Hastalar ameliyat öncesi ve sonrası klinik bulgular, polisomnografi ve Epworth uykululuk skalası ile değerlendirildi. Olgulara ameliyat sonrası polisomnografi en erken dördüncü, en geç 25’inci ayda yapıldı.Bulgular: Polisomnografik değerler açısından apne süresi hariç, ameliyat öncesi ve ameliyat sonrası arasında anlamlı bir fark bulunmadı. Fakat Epworth uykululuk skalasına göre ameliyat sonrası değerlerde ameliyat öncesi değerlere göre anlamlı azalma görüldü. Dört ila sekiz ay takip edilen hastalarla 12 ila 25 ay takip edilen hastalar arasında da anlamlı farklılık bulunmadı.Sonuç: Sürekli pozitif hava yolu basıncı veya oral aparey gibi cihazlara uyumsuz obstrüktif uyku apne sendromlu hastalara modifiye uvulopalatofarengoplasti cerrahi yöntemi bir seçenek olarak sunulabilir

Kaynakça

  • Barthel SW, Strome M. Snoring, obstructive sleep apnea, and surgery. Med Clin North Am 1999;83:85-96.
  • Lee W, Nagubadi S, Kryger MH, Mokhlesi B. Epidemiology of obstructive sleep apnea: a popula- tion-based perspective. Expert Rev Respir Med 2008; 2:349-364.
  • Findley LJ, Unverzagt ME, Suratt PM. Automobile accidents involving patients with obstructive sleep apnea. Am Rev Respir Dis 1988;138:337-40.
  • Fujita S, Conway W, Zorick F, Roth T. Surgical cor- rection of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923-34.
  • Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnoea by continuous positive air- way pressure applied through the nares. Lancet 1981; 1:862-5.
  • Gliklich RE, Taghizadeh F, Winkelman JW. Health status in patients with disturbed sleep and obstruc- tive sleep apnea. Otolaryngol Head Neck Surg 2000; 122:542-6.
  • Quinn SJ, Daly N, Ellis PD. Observation of the mech- anism of snoring using sleep nasendoscopy. Clin Otolaryngol Allied Sci 1995;20:360-4.
  • Macnab T, Blokmanis A, Dickson RI. Long-term results of uvulopalatopharyngoplasty for snoring. J Otolaryngol 1992;21:350-4.
  • Krespi YP, Pearlman SJ, Keidar A. Laser-assisted uvula- palatoplasty for snoring. J Otolaryngol 1994;23:328-34.
  • Larsson H, Carlsson-Nordlander B, Svanborg E. Long- time follow-up after UPPP for obstructive sleep apnea syndrome. Results of sleep apnea recordings and sub- jective evaluation 6 months and 2 years after surgery. Acta Otolaryngol 1991;111:582-90.
  • Larsson LH, Carlsson-Nordlander B, Svanborg E. Four-year follow-up after uvulopalatopharyngoplasty in 50 unselected patients with obstructive sleep apnea syndrome. Laryngoscope 1994;104:1362-8.
  • Riley R, Guilleminault C, Powell N, Simmons FB. Palatopharyngoplasty failure, cephalometric roent- genograms, and obstructive sleep apnea. Otolaryngol Head Neck Surg 1985;93:240-4.
  • Rivlin J, Hoffstein V, Kalbfleisch J, McNicholas W, Zamel N, Bryan AC. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis 1984;129:355-60.
  • Rojewski TE, Schuller DE, Clark RW, Schmidt HS, Potts RE. Videoendoscopic determination of the mechanism of obstruction in obstructive sleep apnea. Otolaryngol Head Neck Surg 1984;92:127-31.
  • Lundkvist K, Januszkiewicz A, Friberg D. Uvulopalatopharyngoplasty in 158 OSAS patients fail- ing non-surgical treatment. Acta Otolaryngol 2009:1-7. [Epub ahead of print]
  • Vicente E, Marín JM, Carrizo S, Naya MJ. Tongue-base suspension in conjunction with uvulopalatopharyn- goplasty for treatment of severe obstructive sleep apnea: long-term follow-up results. Laryngoscope 2006;116:1223-7.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Nilgün Sürmen Bu kişi benim

Arzu Yasemin Korkut Bu kişi benim

Ayşenur Meriç Bu kişi benim

Volkan Kahya Bu kişi benim

Orhan Gedikli Bu kişi benim

Yayımlanma Tarihi 10 Ocak 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 20 Sayı: 1

Kaynak Göster

APA Sürmen, N., Korkut, A. Y., Meriç, A., Kahya, V., vd. (2010). Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız. The Turkish Journal of Ear Nose and Throat, 20(1), 33-37.
AMA Sürmen N, Korkut AY, Meriç A, Kahya V, Gedikli O. Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız. Tr-ENT. Ocak 2010;20(1):33-37.
Chicago Sürmen, Nilgün, Arzu Yasemin Korkut, Ayşenur Meriç, Volkan Kahya, ve Orhan Gedikli. “Horlama Ve obstrüktif Uyku Apne Sendromunda Modifiye Uvulopalatofarengoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 20, sy. 1 (Ocak 2010): 33-37.
EndNote Sürmen N, Korkut AY, Meriç A, Kahya V, Gedikli O (01 Ocak 2010) Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız. The Turkish Journal of Ear Nose and Throat 20 1 33–37.
IEEE N. Sürmen, A. Y. Korkut, A. Meriç, V. Kahya, ve O. Gedikli, “Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız”, Tr-ENT, c. 20, sy. 1, ss. 33–37, 2010.
ISNAD Sürmen, Nilgün vd. “Horlama Ve obstrüktif Uyku Apne Sendromunda Modifiye Uvulopalatofarengoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 20/1 (Ocak 2010), 33-37.
JAMA Sürmen N, Korkut AY, Meriç A, Kahya V, Gedikli O. Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız. Tr-ENT. 2010;20:33–37.
MLA Sürmen, Nilgün vd. “Horlama Ve obstrüktif Uyku Apne Sendromunda Modifiye Uvulopalatofarengoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat, c. 20, sy. 1, 2010, ss. 33-37.
Vancouver Sürmen N, Korkut AY, Meriç A, Kahya V, Gedikli O. Horlama ve obstrüktif uyku apne sendromunda modifiye uvulopalatofarengoplasti sonuçlarımız. Tr-ENT. 2010;20(1):33-7.