Effects of uvulopalatopharyngoplasty: a seven year review.
Effects of uvulopalatopharyngoplasty: a seven year review.
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发表时间：
2011-06
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通讯作者：
W. H. Aneeza;M. Marina;M. Y. Razif;N. A. Azimatun;A. Asma;A. Sani
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作者：
W. H. Aneeza;M. Marina;M. Y. Razif;N. A. Azimatun;A. Asma;A. Sani
目的：回顾第三转诊中心悬雍垂腭咽成形术(UPPP)治疗阻塞性睡眠呼吸暂停综合征的远期疗效。追踪了从2000年7月到2007年12月进行UPPP的38项记录。对14例患者进行了1~7年的随访，采用Epworth嗜睡量表进行评分，记录了长期副作用，并进行了术后Muller‘s手法。UPPP的成功定义为呼吸暂停低通气指数(AHI)下降50%以上。60%(60%)的患者长期应用UPPP治疗成功。平均ESS从12+/-6降至7+/-4。14例患者中有11例(78.5%)出现了UPPP的长期副作用，最高的是腭咽闭合不全(42.8%)。综上所述，UPPP可长期有效地改善OSA的症状。然而，考虑到它的副作用，保留悬垂的手术应该被考虑作为一种手术选择。
To review the long term outcome of Uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnoea syndrome in a tertiary referral centre. 38 records were traced where UPPP was done from July 2000 to December 2007. 14 patients were followed up for one to seven years where the Epworth sleepiness scale was scored, long term side effects documented and post operative muller's manoeuvre done. Success of UPPP is defined as a reduction in apnoea hypopnea index (AHI) more than 50%. Sixty percent (60%) were successfully treated with UPPP in the long term. Mean ESS was significantly reduced from 12 +/- 6 to 7 +/- 4. 11 out of 14 patients (78.5%) were reported to develop long term side effects of UPPP, the highest being velopharyngeal insufficiency (42.8%). In conclusion, UPPP is effective in improving symptoms of OSA in the long term. However, in view of its side effects, uvula preserving surgery should be considered as a surgical option.