Comparison of Uvulopalatopharyngoplasty, Laser-Assisted Uvulopalatoplasty and Cautery-Assisted Uvulopalatoplasty in the Treatment of Primary Snoring
Objective: Our aim was to compare the postoperative pain and surgical results of uvulopalatopharyngoplasty (UPPP), laser-assisted uvulopalatoplasty (LAUP), and cautery-assisted uvulopalatoplasty (CAUP) procedures in the treatment of primary snoring. Methods: 54 patients were stratified according to...
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| Veröffentlicht in: | O.R.L. Journal for oto-rhino-laryngology and its related specialties 2006-01, Vol.68 (3), p.149-155 |
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| container_title | O.R.L. Journal for oto-rhino-laryngology and its related specialties |
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| creator | Cincik, Hakan Cekin, Engin Cetin, Bilal Gungor, Atila Poyrazoglu, Ethem |
| description | Objective: Our aim was to compare the postoperative pain and surgical results of uvulopalatopharyngoplasty (UPPP), laser-assisted uvulopalatoplasty (LAUP), and cautery-assisted uvulopalatoplasty (CAUP) procedures in the treatment of primary snoring. Methods: 54 patients were stratified according to a modified Friedman staging system (MFSS) for sleep-disordered breathing. Tonsil size (1, 2, 3) and palatal position scale (grade 1–2) and body mass index |
| doi_str_mv | 10.1159/000091313 |
| format | Article |
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Methods: 54 patients were stratified according to a modified Friedman staging system (MFSS) for sleep-disordered breathing. Tonsil size (1, 2, 3) and palatal position scale (grade 1–2) and body mass index <30 according to the MFSS were included for standardization. Three workgroups consisting of 18 patients each were formed and UPPP, LAUP and CAUP procedures were performed. The success of the surgical procedures was evaluated by applying the Epworth Sleepiness Scale to the patients, and the patients’ bed partners were asked to evaluate the snoring level preoperative and 45 days after the operation to determine any improvement in snoring complaints. Patients were followed for postoperative pain, secondary infection, bleeding, permanent velopharyngeal insufficiency and nasopharyngeal stenosis. Results: Snoring was relieved in 83.3% of UPPP and CAUP groups and in 88.8% of LAUP 45 days after operation. The mean pain duration was 5.71 days for the UPPP patients, 6.28 days for the LAUP patients and, 4.12 days for the CAUP patients. The mean pain score was 2.1 for the UPPP patients, 2.38 for the LAUP patients, and 1.6 for the CAUP patients. Only 1 patient was hospitalized due to pain in the LAUP group. Conclusion: The effectiveness of UPPP, LAUP and CAUP procedures were found to be similar (more than 83%). Postoperative pain was mostly seen in LAUP and UPPP cases. The CAUP procedure was easy and the least painful.</description><identifier>ISSN: 0301-1569</identifier><identifier>EISSN: 1423-0275</identifier><identifier>DOI: 10.1159/000091313</identifier><identifier>PMID: 16462150</identifier><identifier>CODEN: ORLJAH</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Biological and medical sciences ; Cautery - methods ; Female ; Humans ; Laser Therapy - methods ; Male ; Medical sciences ; Middle Aged ; Original Paper ; Otorhinolaryngology. Stomatology ; Pain, Postoperative ; Palate - surgery ; Pharynx - surgery ; Prospective Studies ; Snoring - surgery ; Treatment Outcome ; Uvula - surgery</subject><ispartof>O.R.L. Journal for oto-rhino-laryngology and its related specialties, 2006-01, Vol.68 (3), p.149-155</ispartof><rights>2006 S. Karger AG, Basel</rights><rights>2006 INIST-CNRS</rights><rights>Copyright 2006 S. Karger AG, Basel</rights><rights>Copyright (c) 2006 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-8c9380966ac6d5488c08f7250d30d2d8f247c209deef7be5f8f52190e35de8fd3</citedby><cites>FETCH-LOGICAL-c360t-8c9380966ac6d5488c08f7250d30d2d8f247c209deef7be5f8f52190e35de8fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,2423,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17694141$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16462150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cincik, Hakan</creatorcontrib><creatorcontrib>Cekin, Engin</creatorcontrib><creatorcontrib>Cetin, Bilal</creatorcontrib><creatorcontrib>Gungor, Atila</creatorcontrib><creatorcontrib>Poyrazoglu, Ethem</creatorcontrib><title>Comparison of Uvulopalatopharyngoplasty, Laser-Assisted Uvulopalatoplasty and Cautery-Assisted Uvulopalatoplasty in the Treatment of Primary Snoring</title><title>O.R.L. Journal for oto-rhino-laryngology and its related specialties</title><addtitle>ORL</addtitle><description>Objective: Our aim was to compare the postoperative pain and surgical results of uvulopalatopharyngoplasty (UPPP), laser-assisted uvulopalatoplasty (LAUP), and cautery-assisted uvulopalatoplasty (CAUP) procedures in the treatment of primary snoring. Methods: 54 patients were stratified according to a modified Friedman staging system (MFSS) for sleep-disordered breathing. Tonsil size (1, 2, 3) and palatal position scale (grade 1–2) and body mass index <30 according to the MFSS were included for standardization. Three workgroups consisting of 18 patients each were formed and UPPP, LAUP and CAUP procedures were performed. The success of the surgical procedures was evaluated by applying the Epworth Sleepiness Scale to the patients, and the patients’ bed partners were asked to evaluate the snoring level preoperative and 45 days after the operation to determine any improvement in snoring complaints. Patients were followed for postoperative pain, secondary infection, bleeding, permanent velopharyngeal insufficiency and nasopharyngeal stenosis. Results: Snoring was relieved in 83.3% of UPPP and CAUP groups and in 88.8% of LAUP 45 days after operation. The mean pain duration was 5.71 days for the UPPP patients, 6.28 days for the LAUP patients and, 4.12 days for the CAUP patients. The mean pain score was 2.1 for the UPPP patients, 2.38 for the LAUP patients, and 1.6 for the CAUP patients. Only 1 patient was hospitalized due to pain in the LAUP group. Conclusion: The effectiveness of UPPP, LAUP and CAUP procedures were found to be similar (more than 83%). Postoperative pain was mostly seen in LAUP and UPPP cases. The CAUP procedure was easy and the least painful.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cautery - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pain, Postoperative</subject><subject>Palate - surgery</subject><subject>Pharynx - surgery</subject><subject>Prospective Studies</subject><subject>Snoring - surgery</subject><subject>Treatment Outcome</subject><subject>Uvula - surgery</subject><issn>0301-1569</issn><issn>1423-0275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90cuKFDEUBuAgitOOLlwLUggKgqW5VG7LofEGDQrOrItMctJTY1VSJimh38MHNmM1M-jCbM7m4_wn_Ag9JfgtIVy_w_Vpwgi7hzako6zFVPL7aIMZJi3hQp-gRzlfV8Wpkg_RCRGdoITjDfq1jdNs0pBjaKJvLn4uY5zNaEqcr0w6hH2cR5PL4U2zMxlSe5bzkAu4v-Qf0Zjgmq1ZCqTD_9gQmnIFzXkCUyYI5Sb2axqmmtZ8CzENYf8YPfBmzPDkOE_RxYf359tP7e7Lx8_bs11rmcClVVYzhbUQxgrHO6UsVl5Sjh3DjjrlaSctxdoBeHkJ3CvPKdEYGHegvGOn6NW6d07xxwK59NOQLYyjCRCX3AupcYe5rPDFP_A6LinU23pa8yQXnFb0ekU2xZwT-H5ev9UT3N_01N_2VO3z48LlcgJ3J4_FVPDyCEy2ZvTJBDvkOyeF7khHqnu2uu8m7SHdgjXmN_nFpkw</recordid><startdate>20060101</startdate><enddate>20060101</enddate><creator>Cincik, Hakan</creator><creator>Cekin, Engin</creator><creator>Cetin, Bilal</creator><creator>Gungor, Atila</creator><creator>Poyrazoglu, Ethem</creator><general>Karger</general><general>S. 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Stomatology</topic><topic>Pain, Postoperative</topic><topic>Palate - surgery</topic><topic>Pharynx - surgery</topic><topic>Prospective Studies</topic><topic>Snoring - surgery</topic><topic>Treatment Outcome</topic><topic>Uvula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cincik, Hakan</creatorcontrib><creatorcontrib>Cekin, Engin</creatorcontrib><creatorcontrib>Cetin, Bilal</creatorcontrib><creatorcontrib>Gungor, Atila</creatorcontrib><creatorcontrib>Poyrazoglu, Ethem</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cincik, Hakan</au><au>Cekin, Engin</au><au>Cetin, Bilal</au><au>Gungor, Atila</au><au>Poyrazoglu, Ethem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Uvulopalatopharyngoplasty, Laser-Assisted Uvulopalatoplasty and Cautery-Assisted Uvulopalatoplasty in the Treatment of Primary Snoring</atitle><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle><addtitle>ORL</addtitle><date>2006-01-01</date><risdate>2006</risdate><volume>68</volume><issue>3</issue><spage>149</spage><epage>155</epage><pages>149-155</pages><issn>0301-1569</issn><eissn>1423-0275</eissn><coden>ORLJAH</coden><abstract>Objective: Our aim was to compare the postoperative pain and surgical results of uvulopalatopharyngoplasty (UPPP), laser-assisted uvulopalatoplasty (LAUP), and cautery-assisted uvulopalatoplasty (CAUP) procedures in the treatment of primary snoring. Methods: 54 patients were stratified according to a modified Friedman staging system (MFSS) for sleep-disordered breathing. Tonsil size (1, 2, 3) and palatal position scale (grade 1–2) and body mass index <30 according to the MFSS were included for standardization. Three workgroups consisting of 18 patients each were formed and UPPP, LAUP and CAUP procedures were performed. The success of the surgical procedures was evaluated by applying the Epworth Sleepiness Scale to the patients, and the patients’ bed partners were asked to evaluate the snoring level preoperative and 45 days after the operation to determine any improvement in snoring complaints. Patients were followed for postoperative pain, secondary infection, bleeding, permanent velopharyngeal insufficiency and nasopharyngeal stenosis. Results: Snoring was relieved in 83.3% of UPPP and CAUP groups and in 88.8% of LAUP 45 days after operation. The mean pain duration was 5.71 days for the UPPP patients, 6.28 days for the LAUP patients and, 4.12 days for the CAUP patients. The mean pain score was 2.1 for the UPPP patients, 2.38 for the LAUP patients, and 1.6 for the CAUP patients. Only 1 patient was hospitalized due to pain in the LAUP group. Conclusion: The effectiveness of UPPP, LAUP and CAUP procedures were found to be similar (more than 83%). Postoperative pain was mostly seen in LAUP and UPPP cases. The CAUP procedure was easy and the least painful.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>16462150</pmid><doi>10.1159/000091313</doi><tpages>7</tpages></addata></record> |
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| ispartof | O.R.L. Journal for oto-rhino-laryngology and its related specialties, 2006-01, Vol.68 (3), p.149-155 |
| issn | 0301-1569 1423-0275 |
| language | eng |
| recordid | cdi_pubmed_primary_16462150 |
| source | MEDLINE; Karger Journals; Alma/SFX Local Collection; Karger:Jisc Collections:ORL, Ophthalmology, Dental Medicine, Obstetrics, Gynecology and Psychology, Psychiatry Archive Collection (2012-2112) |
| subjects | Adult Biological and medical sciences Cautery - methods Female Humans Laser Therapy - methods Male Medical sciences Middle Aged Original Paper Otorhinolaryngology. Stomatology Pain, Postoperative Palate - surgery Pharynx - surgery Prospective Studies Snoring - surgery Treatment Outcome Uvula - surgery |
| title | Comparison of Uvulopalatopharyngoplasty, Laser-Assisted Uvulopalatoplasty and Cautery-Assisted Uvulopalatoplasty in the Treatment of Primary Snoring |
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