Investigation of reoperation after failure of UPPP.
- Author:
Qing feng ZHANG
1
;
Delong LIU
Author Information
1. Department of ENT, Dalian Municipal Central Hospital, Dalian, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
Palate, Soft;
surgery;
Pharynx;
surgery;
Reoperation;
Retrospective Studies;
Sleep Apnea, Obstructive;
surgery;
Tongue;
surgery;
Treatment Failure;
Uvula;
surgery
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2009;23(9):400-402
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the surgical ways of reoperation of the UPPP.
METHOD:Fifteen failed cases of OSAHS after UPPP were reviewed and analyzed. The reoperations were performed with modified laser assistant, ablation assistant UPPP combining ablation of tongue base. The follow-up was done after 1 year.
RESULT:The AHI decreased from (38.56 +/- 11.23)/h to (4.87 +/- 1.59)/h and the lowest SpO2 increased from (61.5 +/- 8.5)% to (79.9 +/- 9.7)% of the patients. The statistical difference was significant (P<0.01) in 1 year after the reoperation. The total validity ratio was 100% and the recovery rate was 96%. No complications happened.
CONCLUSION:The shortcomings of UPPP could be made up with ablation, and the ablation could help the UPPP more minimal damage and effective therapy.
