Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single‐level palatal surgeries

Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative... KeypointsBarbed Reposition PharyngoplastyExpansion Sphincter PharyngoplastyUvulopalatopharyngoplastyObstructive sleep apneaLateral pharyngeal wall collapseINTRODUCTIONObstructive sleep apnoea (OSA) is a common health problem affecting a large number of people all over the world with great psychological and physiological burdens. The overall population prevalence ranged from 9% to 38% at apnoea‐hypopnoea index (AHI) ≥5, being higher in men. It increases with age and, in some elderly groups, was as high as 90% in men and 78% in women. The prevalence decreases as the severity increases to range from 6% to 17% at AHI ≥15, being as high as 49% in the advanced ages. OSA prevalence is directly proportional to the body mass index (BMI), so the disease is more common among obese people.Several degrees and patterns of collapse of the upper airway (UA) during sleep have been described in patients with OSA. In our study, attention is mainly focused on soft palatal collapse which is considered the most common site causing OSA and snoring.Uvulopalatopharyngoplasty (UPPP) is the most commonly performed surgical procedure for treatment of OSA. The challenge of this procedure is to determine the limits of soft tissue resection to be effective. Moreover, the preservation of the levator palatine muscle is mandatory to maintain http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single‐level palatal surgeries

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Publisher
Wiley
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13027
Publisher site
See Article on Publisher Site

Abstract

KeypointsBarbed Reposition PharyngoplastyExpansion Sphincter PharyngoplastyUvulopalatopharyngoplastyObstructive sleep apneaLateral pharyngeal wall collapseINTRODUCTIONObstructive sleep apnoea (OSA) is a common health problem affecting a large number of people all over the world with great psychological and physiological burdens. The overall population prevalence ranged from 9% to 38% at apnoea‐hypopnoea index (AHI) ≥5, being higher in men. It increases with age and, in some elderly groups, was as high as 90% in men and 78% in women. The prevalence decreases as the severity increases to range from 6% to 17% at AHI ≥15, being as high as 49% in the advanced ages. OSA prevalence is directly proportional to the body mass index (BMI), so the disease is more common among obese people.Several degrees and patterns of collapse of the upper airway (UA) during sleep have been described in patients with OSA. In our study, attention is mainly focused on soft palatal collapse which is considered the most common site causing OSA and snoring.Uvulopalatopharyngoplasty (UPPP) is the most commonly performed surgical procedure for treatment of OSA. The challenge of this procedure is to determine the limits of soft tissue resection to be effective. Moreover, the preservation of the levator palatine muscle is mandatory to maintain

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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