A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction.
- Author:
Shicai CHEN
1
;
Song SHI
;
Yanghui XIA
;
Minhui ZHU
;
Caiyun ZHANG
;
Siwen XIA
;
Hongliang ZHENG
Author Information
- Publication Type:Retracted Publication ; Original Article
- Keywords: Sleep Apnea Syndromes; Uvulopalatopharyngoplasty; Genioglossus Advancement; Tongue Base Advancement; Repose System; Epworth Sleepiness Scale
- MeSH: Humans; Polysomnography; Prospective Studies*; Quebec; Sleep Apnea Syndromes; Sleep Apnea, Obstructive*; Snoring; Tongue*; Surveys and Questionnaires
- From:Clinical and Experimental Otorhinolaryngology 2015;8(2):136-141
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: To investigate the surgical outcomes of different uvulopalatopharyngoplasty (UPPP). METHODS: All subjects underwent overnight polysomnography and were evaluated using the Epworth sleepiness scale (ESS), the Quebec sleep questionnaire and the snoring scale at the baseline and 3 and 12 months following operation. The primary endpoint was the overall effective rate representing the sum of the surgical success rate and effective rate. RESULTS: The overall effective rate at 12 months post surgery was 55.6% for simple UPPP, 95.8% for UPPP+GA, and 92.3% for UPPP+TBA. The surgical success rate at 3 and 12 months postoperation for UPPP+GA or UPPP+TBA was significantly higher than simple UPPP (P<0.05). Marked improvement was observed in all patients in the snoring scale score and the ESS score 3 and 12 months following surgery compared to the baseline (P<0.05 in all). CONCLUSION: UPPP, UPPP+GA, and UPPP+TBA are all effective in improving the surgical outcome of obstructive sleep apnea hypopnea syndrome (OSAHS) patients with multilevel obstruction. UPPP+TBA appears to be the most effective in treating OSAHS patients.
