دورية أكاديمية
Palatal hybrid surgery for obstructive sleep apnea-state-of-the-art annotation of uvulopalatopharyngoplasty.
| العنوان: | Palatal hybrid surgery for obstructive sleep apnea-state-of-the-art annotation of uvulopalatopharyngoplasty. |
|---|---|
| المؤلفون: | Li HY; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address: hyli38@cgmh.org.tw., Tsai MS; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Departments of Otolaryngology - Head & Neck Surgery, Chang Gung Memorial Hospital at Chayi, Chayi, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Health Information and Epidemiology Laboratory, Chang Gung Memorial Hospital at Chiayi, Chiayi, Taiwan., Lee LA; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Hsin LJ; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Lee YC; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Departments of Otolaryngology - Head & Neck Surgery, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan., Lin WN; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Lu YA; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Shen SC; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Departments of Otolaryngology - Head & Neck Surgery, New Taipei City Municipal Tucheng Hospital, New Taipei, Taiwan., Cheng WN; Department of Sports Sciences, University of Taipei, Taipei, Taiwan., Chaing YT; Department of Otorhinolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan. |
| المصدر: | Biomedical journal [Biomed J] 2023 Jun; Vol. 46 (3), pp. 100568. Date of Electronic Publication: 2022 Nov 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101599820 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2320-2890 (Electronic) Linking ISSN: 23194170 NLM ISO Abbreviation: Biomed J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dec. 2015- : New York : Elsevier Original Publication: Mumbai : Medknow |
| مواضيع طبية MeSH: | Uvula*/surgery , Sleep Apnea, Obstructive*/surgery, Adult ; Humans ; Palate, Soft/surgery ; Pharynx/surgery ; Sleep ; Treatment Outcome |
| مستخلص: | Background: Surgery for obstructive sleep apnea (OSA) has changed in concept and technique that transformed from radical excision to functional reconstruction. The aim of this study was to investigate the safety and effectiveness of palatal hybrid surgery in OSA patients. Methods: Palatal hybrid surgery is a tissue-specific technique (mucosa-preservation, tonsil-excision, fat-ablation, muscle-relocation/suspension) used in treating OSA patients with velopharyngeal obstruction. The study included 46 consecutive adults OSA patients. The palatal hybrid surgery annotates uvulopalatopharyngoplasty in stereoscopic reconstruction of tonsillar fossa (pharyngoplasty), omni-suspension of the soft palate (palatoplasty) and advancement of uvula (uvuloplasty). Results: No patient experienced airway compromise, voice change or persistent nasal regurgitation following palatal hybrid surgery. One patient existed postoperative tonsillar fossa bleeding received conservative treatment. Postoperative pain in visual analogue scale (VAS) showed average score of 3, 3, 2, 0 at the 1st, 3rd, 7th, 14th day, respectively. Perioperative snoring severity (VAS) (8.7 vs 2.6) and daytime sleepiness (Epworth Sleepiness Scale) (11.3 vs 5.5) all improved significantly (p < 0.001). Posterior air space in retropalatal area increased from 8.4 to 11.1 mm (p < 0.001). Home sleep test showed that apnea-hypopnea index significantly reduced from 41.8 to 18.2 event/h and minimal oxygen saturation increased from 72.4 to 81.5% (p < 0.001). The success rate in individual Friedman stage was 100% (stage I), 63% (stage II) and 58% (stage III) with a total success rate of 63%. Conclusion: Palatal hybrid surgery using tissue-specific maneuver annotates UPPP in concept and technique. The results show that palatal hybrid surgery is mini-invasive with low morbid and is effective in improving subjective clinic symptoms, objective sleep parameters and success rate of OSA. Competing Interests: Conflicts of interest The authors have declared that no conflicts of interest exists. (Copyright © 2022 Chang Gung University. Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Obstructive sleep apnea; Omni-suspension of soft palate; Palatal hybrid surgery; Push and pull maneuver; Stereoscopic reconstruction of tonsillar fossa; Uvulopalatopharyngoplasty |
| تواريخ الأحداث: | Date Created: 20221110 Date Completed: 20230703 Latest Revision: 20230703 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10210010 |
| DOI: | 10.1016/j.bj.2022.11.001 |
| PMID: | 36356890 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2320-2890 |
|---|---|
| DOI: | 10.1016/j.bj.2022.11.001 |