Efficacy of relocation and expansion pharyngoplasty by suspension sutures in the treatment of OSAHS with soft palate oropharyngeal obstruction.
10.3760/cma.j.cn115330-20210707-00436
- Author:
Cai Feng CHEN
1
;
Xiang Min ZHANG
2
;
Ren Liang ZHU
1
;
Hao Bo ZOU
1
;
Bo Bo LI
1
;
Lan Fang LI
1
;
Ze Xin LIN
1
;
Zhuo Jin YU
1
;
Wen Yong CHEN
1
Author Information
1. Guangdong Provincial Hospital of Traditional Chinese Medicine,Otorhinolaryngology & Head and Neck Department,Guangzhou 510120,China.
2. Foresea Insurance Guangzhou General Hospital,Otorhinolaryngology & Head and Neck Surgery Department,Guangzhou 511340,China.
- Publication Type:Journal Article
- MeSH:
Female;
Humans;
Male;
Palate, Soft/surgery*;
Pharynx/surgery*;
Quality of Life;
Retrospective Studies;
Sleep Apnea, Obstructive/surgery*;
Sutures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(12):1270-1276
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the efficacy of relocation and expansion pharyngoplasty by suspension sutures in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: Seventy-three patients(including 60 males and 13 females) with OSAHS admitted to the department of otorhinolaryngology of our hospital in recent two years were retrospectively analyzed. All the patients had velopharyngeal obstructionevaluated by electronic endoscopic Müller test and were divided into control group (34 cases) and observation group (39 cases). The patients in the control group were performed modified uvulopalatopharyngoplasty, while those in the observation group were performed relocation and expansion pharyngoplasty by suspension sutures.The scores of ESS, AHI and LSaO2 before and after treatment were collected and compared. Results: The total effective rate of the observation group was 94.87%, which was significantly higher than 79.41% of the control group. The AHI was lower and LSaO2 value was higher (χ2=-1. 896,-1. 968,P<0.05)in the observation group. The sleeping symptoms and quality of life of the two groups were significantly improved. The ESS score of the observation group was decreased more significantly than that of the control group after treatment, and the difference was statistically significant (χ2=-1.451,P<0.05). The incidence of foreign body sensation in pharynx of the observation group (89.74%) was higher than that of the control group (55.88%), and the postoperative bleeding and postoperative recurrence rate (0.00%, 2.56%) was lower than that of the control group (8.82%, 14.70%)with statistical significance (χ2=4.738,4.249,4.119,P<0.05).The incidence of transient nasopharyngeal reflux in both groups was low and statistically insignificant (χ2=0.629,P>0.05). Conclusions: Preoperative strict screening of indications plays an important role in the selection of palatopharyngeal surgery methods and curative effect. Relocation and expansion pharyngoplasty by suspension sutures can improve the clinical efficacy of OSAHS with better safety and less recurrence.
