Transcervical tongue partial reduction combined with uvulopalatopharyngoplasty in treatment of obstructive sleep apnea-hypopnea syndrome
10.3760/cma.j.issn.1673-0860.2015.08.010
- VernacularTitle:经颈外进路舌根部分切除术联合腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征
- Author:
Yu WANG
1
;
Zhixuan LIU
;
Xiaojun WANG
;
Ying ZHANG
;
Zhijie LI
;
Yun CAO
;
Haiying SU
Author Information
1. 北京军区总医院263临床部耳鼻咽喉头颈外科
- Keywords:
Sleep apnea,obstructive;
Glossectomy;
Otorhinolaryngologic surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2015;50(8):657-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To treat severe obstructive sleep apnea-hypopnea syndrome (OSAHS) with transcervical tongue partial reduction and evaluate treating effect.Methods Forty four patients of severe OSAHS were treated with transcervical tongue partial reduction + uvulopalatopharyngoplasty (UPPP).Apnea hypopnea index (AHI),minimal oxygen percent saturation,body mass index (BMI),area of retroglossal region were measured for diagnosis and evaluation.Results AHI decreased from(67.5 ± 21.1)times/h to (10.5 ± 6.8) times/h (t =2.1,P ＜ 0.01).The lowest oxygen percent saturation increased from 0.694 ± 0.009 to 0.829 ± 0.008 (t =4.3,P ＜ 0.01).The area of retroglossal region increased from (291.7 ± 107.8) mm2 to (398.1 ± 94.5) mm2 (t =3.318,P ＜ 0.05).Four patients complained dysphagia half year after operation.One patient complained about pharyngeal fistula,which disappeared in 2 weeks.One patient appeared hypoglossis bleeding,which stopped after compression.Conclusion Transcervical tongue partial reduction is an effective attempt and supplement for OSAHS with retroglossal region narrow.
