SURGICAL MANAGEMENT OF OBSTRUCTIVE SLEEP APNEA SYNDROME (OSAS)-VELOPHARYNGOPLASTY AND OROPHARYNEAL DUCT ENLARGEMENT
- VernacularTitle:阻塞性睡眠呼吸暂停综合征的外科治疗——腭帆成型与口咽气道扩大
- Author:
Jianjun SUN
;
Jinrang LI
- Publication Type:Journal Article
- Keywords:
sleep apnea syndrome;
surgical procedures;
palate, soft
- From:
Medical Journal of Chinese People's Liberation Army
1983;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
A new surgical technique for the treatment of obstructive sleep apnea syndrome (OSAS) was introduced, especially for those patients with oropharyngeal obstruction. This procedure was intended to relieve the obstruction in oropharynx and enlarge the space of oropharyngeal air duct without destroying its normal anatomical structure and physiological function. In this study Fujita type I was found in 56 of 62 cases by Muller's test. Laser assisted velopharyngoplasty was carried out on all of the patients with preservation of total or part of the uvula. No nasal pharyngeal adhesion or oro nasal cavity backward flow was found after the operation. Snoring disappeared in 29 cases and alleviated in 30 cases with a total effective rate of 95% in all of 62 patients. Our study indicated that based on the constitutional features of oropharyngeal cavity and velopalatal muscles, our surgical design and reconstruction method were able to elevate the venlopalate and, therefore, enlarge the space of the oropharynx effectively.
