Surgical alternatives to uvulopalatopharyngo-plasty in sleep apnea syndrome
Uvulopalatopharyngo-plasty (UPPP) is the surgery most often performed for sleep apnea syndrome (SAS). However, good results with UPPP, demonstrated by polysomnography, have been reported in only 50% of cases. Failure of UPPP may be caused by: 1) bad management of the SAS, which is better treated in...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 1992-01, Vol.15, p.no. 6 Sul.-no. 6 Sul. |
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| container_end_page | no. 6 Sul. |
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| container_start_page | no. 6 Sul. |
| container_title | Sleep (New York, N.Y.) |
| container_volume | 15 |
| creator | Crampette, L Carlander, B Mondain, M Billiard, M Gruerrier, B Dejean, Y |
| description | Uvulopalatopharyngo-plasty (UPPP) is the surgery most often performed for sleep apnea syndrome (SAS). However, good results with UPPP, demonstrated by polysomnography, have been reported in only 50% of cases. Failure of UPPP may be caused by: 1) bad management of the SAS, which is better treated in some patients with nasal CPAP than with surgery; and 2) an airway obstruction located not only at the palatopharynx (PP) level. Other surgical procedures to enlarge other sites of obstruction are described. Retro-tongue-base-pharynx (RTBP) surgery is emphasized, including mandibular advancement, hyoid bone suspension, and tongue base reduction. Maxillomandibular advancement is the most efficient technique but also the most complicated. |
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However, good results with UPPP, demonstrated by polysomnography, have been reported in only 50% of cases. Failure of UPPP may be caused by: 1) bad management of the SAS, which is better treated in some patients with nasal CPAP than with surgery; and 2) an airway obstruction located not only at the palatopharynx (PP) level. Other surgical procedures to enlarge other sites of obstruction are described. Retro-tongue-base-pharynx (RTBP) surgery is emphasized, including mandibular advancement, hyoid bone suspension, and tongue base reduction. 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However, good results with UPPP, demonstrated by polysomnography, have been reported in only 50% of cases. Failure of UPPP may be caused by: 1) bad management of the SAS, which is better treated in some patients with nasal CPAP than with surgery; and 2) an airway obstruction located not only at the palatopharynx (PP) level. Other surgical procedures to enlarge other sites of obstruction are described. Retro-tongue-base-pharynx (RTBP) surgery is emphasized, including mandibular advancement, hyoid bone suspension, and tongue base reduction. Maxillomandibular advancement is the most efficient technique but also the most complicated.</abstract></addata></record> |
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| identifier | ISSN: 0161-8105 |
| ispartof | Sleep (New York, N.Y.), 1992-01, Vol.15, p.no. 6 Sul.-no. 6 Sul. |
| issn | 0161-8105 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_16411315 |
| source | EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| title | Surgical alternatives to uvulopalatopharyngo-plasty in sleep apnea syndrome |
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