Outcome of laser-assisted uvulopalatoplasty (LAUP) in the management of snoring in Hospital Universiti Sains Malaysia (USM)
- Author:
Baharudin Abdullah
;
Nik Adilah Nik Othman
;
Dr Mohd Khairi Daud
- Publication Type:Journal Article
- Keywords:
Outcome, Laser assisted Uvulopalatoplasty, Snoring, Hospital Universiti Sains Malaysia
- From:Malaysian Journal of Medical Sciences
2008;15(2):29-32
- CountryMalaysia
- Language:English
-
Abstract:
To determine the outcome of laser-assisted uvulopalatoplasty for the management
of patients with snoring in Universiti Sains Malaysia Hospital (HUSM). A
retrospective review of patients who underwent LAUP with or without tonsillectomy
or adenoidectomy under general anaesthesia between December 2003 to December
2006. Data was obtained from admission and follow-up records in the
otorhinolaryngology clinic of USM Hospital (HUSM). A total of nineteen patients
underwent procedure for the treatment of snoring. Majority of these patients
presented with symptoms of loud snoring and daytime somnolence. The main
operations performed were LAUP with or without tonsillectomy or adenoidectomy.
The justification for LAUP were overhanging and excessive uvula or soft palate,
whereas for adenotonsillectomy were the hypertrophied adenoids and tonsils. On
follow-up, most of the patients claimed improvement of snoring within the first 2
months post-operation. However, majority of them defaulted follow-up after that.
One patient (AHI preoperatively was mild) was reviewed up to 8 months with no
snoring. One patient (AHI was severe preoperatively and normal post operatively)
remained in our follow-up was satisfied with the operation. Two patients continued
to experience snoring post LAUP despite trial of non-surgical methods. The outcome
of LAUP in our patients showed variable results. This showed that patient selection
is very important to achieve good result in LAUP. Long-term follow-up is also
essential to document the success for LAUP.
- Full text:W020151019328704033740.pdf
