Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty
In this procedure, we removed the lateral part of the base of tongue in addition to the steps of classical uvulopalatopharyngoplasty
with electric cautery and sutured the raw area with 3-0 vicryl sutures.
The predictive efficacy of the Muller maneuver in uvulopalatopharyngoplasty
The most common form of surgery for OSA is uvulopalatopharyngoplasty
(UPPP) and the success rate for UPPP is estimated to be approximately 50 percent.
These include uvulopalatopharyngoplasty
, which resects the mafia, retrolingual, and palatine tonsillar tissue; septoplasty; rhinoplasty; nasal turbinate reduction; nasal polypectomy palatal advancement pharyngoplasty; tonsillectomy; adenoidectomy; palatal implants; tongue reduction; genioglossus advancement; and maxillomandibular advancement.
There are also surgical options, including uvulopalatopharyngoplasty
to remove excess tissue obstructing the airway and jaw lengthening surgery that pulls the tongue forward.
Nuffield offers a radio frequency induced thermal therapy surgery as an alternative to the traditional uvulopalatopharyngoplasty
(UPPP) - a surgical procedure used to remove tissue in the throat.
4 year follow-up of treatment with dental appliance or uvulopalatopharyngoplasty
in patients with obstructive sleep apnea.
The retrospective study looked at 40 patients who underwent one of three surgical interventions - uvulopalatopharyngoplasty
, tonsillectomy or radiofrequency ablation of the base of tongue - between January 2007 and December 2009.
Many patients who undergo conservative procedures like uvulopalatopharyngoplasty
or UPPP still have to use C.
When asked if it makes sense to perform a less morbid soft tissue surgical procedure such as tonsillectomy or uvulopalatopharyngoplasty
as a first-line operation for patients with moderate to severe OSA, reserving MMA for the nonresponders, Dr.
Treatment modalities currently available for clinical OSA management include active weight loss, avoidance of alcohol and sedatives, application of nasal CPAP oral appliance therapy (enlarging the pharyngeal airway by moving tongue or mandible forwards) and surgical approaches such as tracheostomy, uvulopalatopharyngoplasty
and maxillofacial surgery (1).