Effect of soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection in treatment OSAHS
10.3760/cma.j.issn.1008-6706.2012.06.026
- VernacularTitle:软腭横向双梭形切除联合扩大双侧扁桃体切除术治疗阻塞性睡眠呼吸暂停低通气综合征
- Author:
Zhangwei XUE
;
Wenxu FANG
;
Weiqun HU
;
Linwei MAO
- Publication Type:Journal Article
- Keywords:
Sleep apnea,obstructive;
Palate,soft;
Surgery,plastic;
Tonsillectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(6):852-853
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the postoperational curative effect and complicational occuring status by using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection to treat(obstructive sleep apnea hyponea syndrome,OSAHS).Methods59 cases with type Ⅰ OSAHS were divided into experimental group(39 cases)using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection,control group( 20 cases)carrying out UPPP or keeping uvula UPPP.ResultsTow groups postoperational total effective rate 84.75％ (50/59),PSG survey's analysis( x2 =6.348,P ＜0.05 ) with preoperation,postoperation,without obvious discrepancy,the degree of postoperational pharyngeal ache,after follow-up visit 6-12 months,comparing the changes of snore,nasopharynx's backflow or missing deglutition and appearing cavum pharyngis coarctation( U =3.426,P ＜ 0.05 ),having outstanding discrepancy.ConclusionIt was not only to completely keeping uvula by using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection to treat OSAHS,but to enlarge soft palate shaping confines,not only effectively enlarging the ventilate's sectional area of cavum oropharyngeum,but preferably keeping the normal physiological morphology and function of cavum pharynges,avoiding the happening such as palatepharynx insufficiency complication etc.
