UVULOPALATOPHARYNGOPLASTY FOR OBSTRUCTIVE SLEEP-APNEA - A COMMUNITY EXPERIENCE

被引:32
作者
MAISEL, RH
ANTONELLI, PJ
IBER, C
MAHOWALD, M
WILSON, KS
FIEDLER, B
SCHLUTER, J
机构
[1] HENNEPIN CTY MED CTR,DEPT PULM MED,MINNEAPOLIS,MN 55415
[2] HENNEPIN CTY MED CTR,DEPT NEUROL,MINNEAPOLIS,MN 55415
[3] UNIV MINNESOTA,MINNEAPOLIS,MN 55455
关键词
D O I
10.1288/00005537-199206000-00003
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Uvulopalatopharyngoplasty (UPPP) has become an accepted method for treating obstructive sleep apnea (OSA), with a reported success rate as high as 77%, depending upon inclusionary and outcome criteria. The authors reviewed the records of 90 patients with moderately severe OSA (apnea plus hypopnea index [AHI] greater than 20) who underwent LTPPP at either a private community or an academic hospital. Forty percent of patients experienced more than a 50% reduction in their AHI with UPPP. Only 22 (24%) of the patients had a postoperative AHI less than 50% of the preoperative AHI and less than 20, i.e., met the authors' criteria for surgical success. The success rate for community otolaryngologists was no different than that achieved in the academic institution. When data from previously published reports were analyzed using these criteria for success, similar results were observed. This study suggests that the effectiveness of UPPP performed by the general otolaryngologic community is equivalent to that reported in the literature. However, more rigorous criteria must be applied to UPPP when evaluating its results and in counseling potential candidates for this procedure.
引用
收藏
页码:604 / 607
页数:4
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