The postoperative management of obstructive sleep apnea (OSA) following uvulopalatopharyngoplasty
(UPPP) once routinely included admission to the intensive care unit (ICU) for monitoring of potential respiratory complications secondary to upper airway obstruction or narcotic administration.
Key: AHI = apnea-hypopnea index; BMI = body mass index (expressed as kg/[m.sup.2]); UPPP = uvulopalatopharyngoplasty
Surgical treatment options are plentiful; they include tonsillectomy with uvulopalatopharyngoplasty
(tonsillectomy/UPPP), genioglossus advancement, hyoid suspension, palatal advancement or stiffening, and tracheostomy.
Over the past 2 decades, uvulopalatopharyngoplasty
(UPPP) has become one of the more frequently used surgical treatments for obstructive sleep apnea syndrome (OSAS).
A45 -year-old man underwent uvulopalatopharyngoplasty
(UPPP) to correct upper airway resistance syndrome and heavy snoring, both of which were confirmed by a sleep study.
(4) reported a complete RP course of carotid arteries and termed them "kissing carotids." It is especially dangerous when the ICA comes in contact with the tonsillar fossa or the posterior pharyngeal wall, and may cause massive hemorrhage during tonsillectomy, uvulopalatopharyngoplasty
, or incision and drainage of a peritonsillar or an RP abscess (3).
Comparison of dexmedetomidine versus propofol for sedation after Uvulopalatopharyngoplasty
. Med Sci Monit 2015;21: 2125-33.
In a study with adult patients undergoing tonsillectomy and uvulopalatopharyngoplasty
(UPPP), effect of bupivacaine has been investigated and it was recommended to be used for pain reduction in intraoral surgeries.21 A study showed that levobupivacaine was more effective on postoperative pain and intraoperative bleeding compared to saline.22 Bupivacaine is a local anaesthetic belonging to amino amide group which inhibits access of sodium to the nerve cells, preventing depolarisation.
A prospective study in patients treated by uvulopalatopharyngoplasty
. Am Rev Respir Dis 1991;144:428-32.
(UPPP) is the most commonly performed upper airway surgery for OSA and is often used in conjunction with other sleep surgery techniques.
Mysliwiec, "Resolution of severe sleep-disordered breathing with a nasopharyngeal obturator in 2 cases of nasopharyngeal stenosis complicating uvulopalatopharyngoplasty
," Sleep and Breathing, vol.
 in their study compared propofol with dexmedetomidine for sedation of adults who were mechanically ventilated after uvulopalatopharyngoplasty
in the PACU, and the bispectral index values were significantly lower in the dexmedetomidine group than in the propofol group.