A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction
ObjectivesTo investigate the surgical outcomes of different uvulopalatopharyngoplasty (UPPP).Methods All subjects underwent overnight polysomnography and were evaluated using the Epworth sleepiness scale (ESS), the Quebec sleep questionnaire and the snoring scale at the baseline and 3 and 12 months...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2015-06-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
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| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-8-136.pdf |
| _version_ | 1811231934793121792 |
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| author | Shicai Chen Song Shi Yanghui Xia Minhui Zhu Caiyun Zhang Siwen Xia Hongliang Zheng |
| author_facet | Shicai Chen Song Shi Yanghui Xia Minhui Zhu Caiyun Zhang Siwen Xia Hongliang Zheng |
| author_sort | Shicai Chen |
| collection | DOAJ |
| description | ObjectivesTo investigate the surgical outcomes of different uvulopalatopharyngoplasty (UPPP).Methods All subjects underwent overnight polysomnography and were evaluated using the Epworth sleepiness scale (ESS), the Quebec sleep questionnaire and the snoring scale at the baseline and 3 and 12 months following operation. The primary endpoint was the overall effective rate representing the sum of the surgical success rate and effective rate.ResultsThe overall effective rate at 12 months post surgery was 55.6% for simple UPPP, 95.8% for UPPP+GA, and 92.3% for UPPP+TBA. The surgical success rate at 3 and 12 months postoperation for UPPP+GA or UPPP+TBA was significantly higher than simple UPPP (P<0.05). Marked improvement was observed in all patients in the snoring scale score and the ESS score 3 and 12 months following surgery compared to the baseline (P<0.05 in all).ConclusionUPPP, UPPP+GA, and UPPP+TBA are all effective in improving the surgical outcome of obstructive sleep apnea hypopnea syndrome (OSAHS) patients with multilevel obstruction. UPPP+TBA appears to be the most effective in treating OSAHS patients. |
| first_indexed | 2024-04-12T10:53:30Z |
| format | Article |
| id | doaj.art-83db6dadaa0645229b816bbcdb35a9a0 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-04-12T10:53:30Z |
| publishDate | 2015-06-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-83db6dadaa0645229b816bbcdb35a9a02022-12-22T03:36:09ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202015-06-018213614110.3342/ceo.2015.8.2.136354A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel ObstructionShicai Chen0Song Shi1Yanghui Xia2Minhui Zhu3Caiyun Zhang4Siwen Xia5Hongliang Zheng6Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.Department of Otorhinolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University of PLA, Shanghai, China.ObjectivesTo investigate the surgical outcomes of different uvulopalatopharyngoplasty (UPPP).Methods All subjects underwent overnight polysomnography and were evaluated using the Epworth sleepiness scale (ESS), the Quebec sleep questionnaire and the snoring scale at the baseline and 3 and 12 months following operation. The primary endpoint was the overall effective rate representing the sum of the surgical success rate and effective rate.ResultsThe overall effective rate at 12 months post surgery was 55.6% for simple UPPP, 95.8% for UPPP+GA, and 92.3% for UPPP+TBA. The surgical success rate at 3 and 12 months postoperation for UPPP+GA or UPPP+TBA was significantly higher than simple UPPP (P<0.05). Marked improvement was observed in all patients in the snoring scale score and the ESS score 3 and 12 months following surgery compared to the baseline (P<0.05 in all).ConclusionUPPP, UPPP+GA, and UPPP+TBA are all effective in improving the surgical outcome of obstructive sleep apnea hypopnea syndrome (OSAHS) patients with multilevel obstruction. UPPP+TBA appears to be the most effective in treating OSAHS patients.http://www.e-ceo.org/upload/pdf/ceo-8-136.pdfSleep Apnea SyndromesUvulopalatopharyngoplastyGenioglossus AdvancementTongue Base AdvancementRepose SystemEpworth Sleepiness Scale |
| spellingShingle | Shicai Chen Song Shi Yanghui Xia Minhui Zhu Caiyun Zhang Siwen Xia Hongliang Zheng A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction Clinical and Experimental Otorhinolaryngology Sleep Apnea Syndromes Uvulopalatopharyngoplasty Genioglossus Advancement Tongue Base Advancement Repose System Epworth Sleepiness Scale |
| title | A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction |
| title_full | A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction |
| title_fullStr | A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction |
| title_full_unstemmed | A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction |
| title_short | A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction |
| title_sort | prospective study of the surgical outcome of simple uvulopalatopharyngoplasty uppp uppp combined with genioglossus advancement or tongue base advancement for obstructive sleep apnea hypopnea syndrome patients with multilevel obstruction |
| topic | Sleep Apnea Syndromes Uvulopalatopharyngoplasty Genioglossus Advancement Tongue Base Advancement Repose System Epworth Sleepiness Scale |
| url | http://www.e-ceo.org/upload/pdf/ceo-8-136.pdf |
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