Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome
Aim To investigate changes in upper airway volume parameters measured by computerized tomography scans in patients with surgically treated by anterior palatoplasty of whom having pure snoring and mild-moderate obstructive sleep apnea. Method A prospective study on consecutively anterior palatoplasty...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2017-05, Vol.274 (5), p.2183-2188 |
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| creator | Selcuk, Adin Ozer, Tulay Esen, Erkan Ozdogan, Fatih Ozel, Halil Erdem Yuce, Turgut Caliskan, Sebla Dasli, Sinem Bilal, Nagihan Genc, Gulden Genc, Selahattin |
| description | Aim
To investigate changes in upper airway volume parameters measured by computerized tomography scans in patients with surgically treated by anterior palatoplasty of whom having pure snoring and mild-moderate obstructive sleep apnea.
Method
A prospective study on consecutively anterior palatoplasty performed pure snoring and obstructive sleep apnea patients. Computerized tomography scans were obtained preoperatively and following anterior palatoplasty procedure to measure changes in upper airway volume. Patients underwent diagnostic drug induced sleep endoscopy to assess the site of obstruction. Preoperative and postoperative measurements were compared using student’s
t
test and Chi-square test.
Results
Twenty-two patients (16 men and 6 women, age 48.22 ± 9.23, body mass index 25.85 ± 2.57) completed the trial. Anterior palatoplasty was associated with an increase in total upper airway volume from 4.81 ± 1.73 cm
3
before treatment to 6.57 ± 2.03 cm
3
after treatment (
p
|
| doi_str_mv | 10.1007/s00405-016-4448-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1867541463</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1867541463</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-a37425999fcbe4bb4d0630addecc6d61869a95700de14c19bcc01f4044af9d03</originalsourceid><addsrcrecordid>eNp9kcFu3CAQhlHVqtmkfYBeKo65OB3W2F6OVZQ2kSL1kjsawzhxZAMFnMgP1Xcs1m5z7AkYvv8fzfyMfRFwJQC6bwlAQlOBaCsp5aFS79hOyFpWstu379kOVN2Vn647Y-cpPQNAI1X9kZ3tD-LQgIAd-3PzgtOCefSO-4HTMJDJabuiyxRHH3nACbMPE6a8ch8onmjHl1BeHMf4imvBIs5UNImPjhs_hyWT5dnP_jFieFq3cihacqXB65ifeFgi8eR8HN1j6We571OOi8njS6lPRIFjcIQ8rc5GP9Mn9mHAKdHn03nBHn7cPFzfVve_ft5df7-vTC1lrrDu5L5RSg2mJ9n30kJbA1pLxrS2FYdWoWo6AEtCGqF6Y0AMEqTEQVmoL9jl0TZE_3uhlPU8JkPThI78knQx6BopZFsXVBxRE31KkQYd4jhjXLUAvYWkjyHpEpLeQtKqaL6e7Jd-Jvum-JdKAfZHIIVtNRT1s1-iKxP_x_UvWvSitw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1867541463</pqid></control><display><type>article</type><title>Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Selcuk, Adin ; Ozer, Tulay ; Esen, Erkan ; Ozdogan, Fatih ; Ozel, Halil Erdem ; Yuce, Turgut ; Caliskan, Sebla ; Dasli, Sinem ; Bilal, Nagihan ; Genc, Gulden ; Genc, Selahattin</creator><creatorcontrib>Selcuk, Adin ; Ozer, Tulay ; Esen, Erkan ; Ozdogan, Fatih ; Ozel, Halil Erdem ; Yuce, Turgut ; Caliskan, Sebla ; Dasli, Sinem ; Bilal, Nagihan ; Genc, Gulden ; Genc, Selahattin</creatorcontrib><description>Aim
To investigate changes in upper airway volume parameters measured by computerized tomography scans in patients with surgically treated by anterior palatoplasty of whom having pure snoring and mild-moderate obstructive sleep apnea.
Method
A prospective study on consecutively anterior palatoplasty performed pure snoring and obstructive sleep apnea patients. Computerized tomography scans were obtained preoperatively and following anterior palatoplasty procedure to measure changes in upper airway volume. Patients underwent diagnostic drug induced sleep endoscopy to assess the site of obstruction. Preoperative and postoperative measurements were compared using student’s
t
test and Chi-square test.
Results
Twenty-two patients (16 men and 6 women, age 48.22 ± 9.23, body mass index 25.85 ± 2.57) completed the trial. Anterior palatoplasty was associated with an increase in total upper airway volume from 4.81 ± 1.73 cm
3
before treatment to 6.57 ± 2.03 cm
3
after treatment (
p
< 0.005). Change in soft palate thickness did not vary significantly (
p
< 0.039). The mean soft palate length has changed from 4.13 ± 0.41 to 3.93 ± 0.51 cm (
p
< 0.001). The preoperative and postoperative measurements of cross-sectional areas and volumes all showed significant difference except velopharynx minimal lateral airway dimension. The operational procedure increased the total upper airway volume much more in men than in women (
p
< 0.05).
Conclusion
Results of this study indicate that anterior palatoplasty operation appears to produce significant increase in upper airway volume and cross sectional area. It does not seem to have an effect on lateral airway dimension. Computerized tomography is a quick and noninvasive imaging technique that allows for quantitative assessment of the velopharyngeal patency changes.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-016-4448-9</identifier><identifier>PMID: 28185010</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Female ; Head and Neck Surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Otorhinolaryngology ; Palate, Soft - anatomy & histology ; Palate, Soft - surgery ; Pharynx - anatomy & histology ; Pharynx - diagnostic imaging ; Polysomnography ; Prospective Studies ; Rhinology ; Sleep Apnea, Obstructive - diagnostic imaging ; Sleep Apnea, Obstructive - pathology ; Sleep Apnea, Obstructive - surgery ; Snoring - diagnostic imaging ; Snoring - pathology ; Snoring - surgery ; Tomography, X-Ray Computed</subject><ispartof>European archives of oto-rhino-laryngology, 2017-05, Vol.274 (5), p.2183-2188</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-a37425999fcbe4bb4d0630addecc6d61869a95700de14c19bcc01f4044af9d03</citedby><cites>FETCH-LOGICAL-c344t-a37425999fcbe4bb4d0630addecc6d61869a95700de14c19bcc01f4044af9d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-016-4448-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-016-4448-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28185010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Selcuk, Adin</creatorcontrib><creatorcontrib>Ozer, Tulay</creatorcontrib><creatorcontrib>Esen, Erkan</creatorcontrib><creatorcontrib>Ozdogan, Fatih</creatorcontrib><creatorcontrib>Ozel, Halil Erdem</creatorcontrib><creatorcontrib>Yuce, Turgut</creatorcontrib><creatorcontrib>Caliskan, Sebla</creatorcontrib><creatorcontrib>Dasli, Sinem</creatorcontrib><creatorcontrib>Bilal, Nagihan</creatorcontrib><creatorcontrib>Genc, Gulden</creatorcontrib><creatorcontrib>Genc, Selahattin</creatorcontrib><title>Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Aim
To investigate changes in upper airway volume parameters measured by computerized tomography scans in patients with surgically treated by anterior palatoplasty of whom having pure snoring and mild-moderate obstructive sleep apnea.
Method
A prospective study on consecutively anterior palatoplasty performed pure snoring and obstructive sleep apnea patients. Computerized tomography scans were obtained preoperatively and following anterior palatoplasty procedure to measure changes in upper airway volume. Patients underwent diagnostic drug induced sleep endoscopy to assess the site of obstruction. Preoperative and postoperative measurements were compared using student’s
t
test and Chi-square test.
Results
Twenty-two patients (16 men and 6 women, age 48.22 ± 9.23, body mass index 25.85 ± 2.57) completed the trial. Anterior palatoplasty was associated with an increase in total upper airway volume from 4.81 ± 1.73 cm
3
before treatment to 6.57 ± 2.03 cm
3
after treatment (
p
< 0.005). Change in soft palate thickness did not vary significantly (
p
< 0.039). The mean soft palate length has changed from 4.13 ± 0.41 to 3.93 ± 0.51 cm (
p
< 0.001). The preoperative and postoperative measurements of cross-sectional areas and volumes all showed significant difference except velopharynx minimal lateral airway dimension. The operational procedure increased the total upper airway volume much more in men than in women (
p
< 0.05).
Conclusion
Results of this study indicate that anterior palatoplasty operation appears to produce significant increase in upper airway volume and cross sectional area. It does not seem to have an effect on lateral airway dimension. Computerized tomography is a quick and noninvasive imaging technique that allows for quantitative assessment of the velopharyngeal patency changes.</description><subject>Adult</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Palate, Soft - anatomy & histology</subject><subject>Palate, Soft - surgery</subject><subject>Pharynx - anatomy & histology</subject><subject>Pharynx - diagnostic imaging</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Rhinology</subject><subject>Sleep Apnea, Obstructive - diagnostic imaging</subject><subject>Sleep Apnea, Obstructive - pathology</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Snoring - diagnostic imaging</subject><subject>Snoring - pathology</subject><subject>Snoring - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu3CAQhlHVqtmkfYBeKo65OB3W2F6OVZQ2kSL1kjsawzhxZAMFnMgP1Xcs1m5z7AkYvv8fzfyMfRFwJQC6bwlAQlOBaCsp5aFS79hOyFpWstu379kOVN2Vn647Y-cpPQNAI1X9kZ3tD-LQgIAd-3PzgtOCefSO-4HTMJDJabuiyxRHH3nACbMPE6a8ch8onmjHl1BeHMf4imvBIs5UNImPjhs_hyWT5dnP_jFieFq3cihacqXB65ifeFgi8eR8HN1j6We571OOi8njS6lPRIFjcIQ8rc5GP9Mn9mHAKdHn03nBHn7cPFzfVve_ft5df7-vTC1lrrDu5L5RSg2mJ9n30kJbA1pLxrS2FYdWoWo6AEtCGqF6Y0AMEqTEQVmoL9jl0TZE_3uhlPU8JkPThI78knQx6BopZFsXVBxRE31KkQYd4jhjXLUAvYWkjyHpEpLeQtKqaL6e7Jd-Jvum-JdKAfZHIIVtNRT1s1-iKxP_x_UvWvSitw</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Selcuk, Adin</creator><creator>Ozer, Tulay</creator><creator>Esen, Erkan</creator><creator>Ozdogan, Fatih</creator><creator>Ozel, Halil Erdem</creator><creator>Yuce, Turgut</creator><creator>Caliskan, Sebla</creator><creator>Dasli, Sinem</creator><creator>Bilal, Nagihan</creator><creator>Genc, Gulden</creator><creator>Genc, Selahattin</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome</title><author>Selcuk, Adin ; Ozer, Tulay ; Esen, Erkan ; Ozdogan, Fatih ; Ozel, Halil Erdem ; Yuce, Turgut ; Caliskan, Sebla ; Dasli, Sinem ; Bilal, Nagihan ; Genc, Gulden ; Genc, Selahattin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-a37425999fcbe4bb4d0630addecc6d61869a95700de14c19bcc01f4044af9d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Palate, Soft - anatomy & histology</topic><topic>Palate, Soft - surgery</topic><topic>Pharynx - anatomy & histology</topic><topic>Pharynx - diagnostic imaging</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Rhinology</topic><topic>Sleep Apnea, Obstructive - diagnostic imaging</topic><topic>Sleep Apnea, Obstructive - pathology</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Snoring - diagnostic imaging</topic><topic>Snoring - pathology</topic><topic>Snoring - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Selcuk, Adin</creatorcontrib><creatorcontrib>Ozer, Tulay</creatorcontrib><creatorcontrib>Esen, Erkan</creatorcontrib><creatorcontrib>Ozdogan, Fatih</creatorcontrib><creatorcontrib>Ozel, Halil Erdem</creatorcontrib><creatorcontrib>Yuce, Turgut</creatorcontrib><creatorcontrib>Caliskan, Sebla</creatorcontrib><creatorcontrib>Dasli, Sinem</creatorcontrib><creatorcontrib>Bilal, Nagihan</creatorcontrib><creatorcontrib>Genc, Gulden</creatorcontrib><creatorcontrib>Genc, Selahattin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Selcuk, Adin</au><au>Ozer, Tulay</au><au>Esen, Erkan</au><au>Ozdogan, Fatih</au><au>Ozel, Halil Erdem</au><au>Yuce, Turgut</au><au>Caliskan, Sebla</au><au>Dasli, Sinem</au><au>Bilal, Nagihan</au><au>Genc, Gulden</au><au>Genc, Selahattin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>274</volume><issue>5</issue><spage>2183</spage><epage>2188</epage><pages>2183-2188</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Aim
To investigate changes in upper airway volume parameters measured by computerized tomography scans in patients with surgically treated by anterior palatoplasty of whom having pure snoring and mild-moderate obstructive sleep apnea.
Method
A prospective study on consecutively anterior palatoplasty performed pure snoring and obstructive sleep apnea patients. Computerized tomography scans were obtained preoperatively and following anterior palatoplasty procedure to measure changes in upper airway volume. Patients underwent diagnostic drug induced sleep endoscopy to assess the site of obstruction. Preoperative and postoperative measurements were compared using student’s
t
test and Chi-square test.
Results
Twenty-two patients (16 men and 6 women, age 48.22 ± 9.23, body mass index 25.85 ± 2.57) completed the trial. Anterior palatoplasty was associated with an increase in total upper airway volume from 4.81 ± 1.73 cm
3
before treatment to 6.57 ± 2.03 cm
3
after treatment (
p
< 0.005). Change in soft palate thickness did not vary significantly (
p
< 0.039). The mean soft palate length has changed from 4.13 ± 0.41 to 3.93 ± 0.51 cm (
p
< 0.001). The preoperative and postoperative measurements of cross-sectional areas and volumes all showed significant difference except velopharynx minimal lateral airway dimension. The operational procedure increased the total upper airway volume much more in men than in women (
p
< 0.05).
Conclusion
Results of this study indicate that anterior palatoplasty operation appears to produce significant increase in upper airway volume and cross sectional area. It does not seem to have an effect on lateral airway dimension. Computerized tomography is a quick and noninvasive imaging technique that allows for quantitative assessment of the velopharyngeal patency changes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28185010</pmid><doi>10.1007/s00405-016-4448-9</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0937-4477 |
| ispartof | European archives of oto-rhino-laryngology, 2017-05, Vol.274 (5), p.2183-2188 |
| issn | 0937-4477 1434-4726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Female Head and Neck Surgery Humans Male Medicine Medicine & Public Health Middle Aged Neurosurgery Otorhinolaryngology Palate, Soft - anatomy & histology Palate, Soft - surgery Pharynx - anatomy & histology Pharynx - diagnostic imaging Polysomnography Prospective Studies Rhinology Sleep Apnea, Obstructive - diagnostic imaging Sleep Apnea, Obstructive - pathology Sleep Apnea, Obstructive - surgery Snoring - diagnostic imaging Snoring - pathology Snoring - surgery Tomography, X-Ray Computed |
| title | Evaluation of effects of anterior palatoplasty operation on upper airway parameters in computed tomography in patients with pure snoring and obstructive sleep apnea syndrome |
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