Transcervical tongue partial reduction combined with uvulopalatopharyngoplasty in treatment of obstructive sleep apnea-hypopnea syndrome.
- Author:
Yu WANG
1
,
2
;
Email: WANGYUMIKE@126.COM.
;
Zhixuan LIU
3
;
Xiaojun WANG
3
;
Ying ZHANG
3
;
Zhijie LI
3
;
Yun CAO
3
;
Haiying SU
3
Author Information
- Publication Type:Journal Article
- MeSH: Body Mass Index; Deglutition Disorders; Humans; Oral Surgical Procedures; adverse effects; methods; Palate; surgery; Pharynx; surgery; Sleep Apnea, Obstructive; surgery; Tongue; surgery; Uvula; surgery
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2015;50(8):657-660
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo treat severe obstructive sleep apnea-hypopnea syndrome (OSAHS) with transcervical tongue partial reduction and evaluate treating effect.
METHODSForty 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.
RESULTSAHI 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.
CONCLUSIONTranscervical tongue partial reduction is an effective attempt and supplement for OSAHS with retroglossal region narrow.
