Efficacy of soft palate forward surgical treatment of severe obstructive sleep apnea hypopnea syndrome
- VernacularTitle:软腭前移术治疗中重度阻塞性睡眠呼吸暂停低通气综合征的疗效观察
- Author:
Liqun ZHANG
1
;
Guofeng XIONG
;
Weijun CHEN
;
Jianwen HU
Author Information
1. 浙江省温州市中心医院耳鼻咽喉-头颈外科
- Keywords:
OSAHS;
Hard palate shortening;
Soft palate advancement;
Uvula palate forming
- From:
China Modern Doctor
2014;(30):16-17,21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To further investigate the effet of soft palate advancement-hard palate shortening uvulopalatopharyn-goplasty for treatment of obstructive sleep apnea syndrome (Obstructive sleep apnea syndrome,OSAHS). Methods From January 2012 to January 2014,selected OSAHS patients in our hospital for surgery,underwent Hard palate shortening forward uvulopalatopharyngoplasty surgery,31 cases of OSAHS patients (OSAHS group) before and after surgery, the upper airway pressure and CT the velopharyngeal anatomy. Statistical analysis data of preoperative, post-operative. Including before and after the operation before and after AHI, SaO2 and CT measurements of upper airway soft palate about size, soft palate, uvula area anteroposterior diameter of about diameter, diameter of uvula. Results Cured 16 cases,markedly effective,effective 11 cases,invalid 4 cases,the efficiency was 87.1%,the normal group and the OSAHS group of palate diameter,soft palate,uvula area about the size of anteroposterior diameter, anteroposterior diameter of uvula area,the difference was statistically significant (P<0.01).After a follow up of 6 months,6 of 3 cases after D in nasalregurgitation,3 cases improved after 2 weeks;Rebleeding in 1 patient after a small amount of oropha-ryngeal hemorrhage. In 1 patients after 1 weeks of mucoperiosteal poor healing. Conclusion The normal adult OSAHS patients with velopharyngeal plane narrowdifferences. Patients with OSAHS soft palate advancement-hard palate short eninguvulo palatopharyngoplasty soft palate velopharyngeal airway expanded significantly,anteroposterior diameter in-crease.
