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[Application of folded soft palate plasty to obstructive sleep apnea hypopnea syndrome].

Yong Wang, Peihua Li, Daoqin Yuan, Guihua Yang, Yang Xiao, Jinglian Chen, Wenfu Liu

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Abstract

OBJECTIVE: To explore the effect of the modified (Uvulopalatopharyngoplasty, UPPP) where uvula is reserved completely and the soft palate is folded in the operation. METHODS: 36 patients with the obstructive sleep apnea-hypopnea syndrome (OSAHS) (30 men, 6 women) underwent operation. The uvula and the muscles of the soft palate were reserved completely, and the soft palate was folded during the operation. RESULTS: 31 patients (86.1%) reported improvement of snoring and daytime somnolence. 30 patients (83.33%) showed a decrease of at least 50% in the apnea and hypopnea indices (AHI). No velopalatal insufficiency occurred. CONCLUSION: The modified UPPP not only enlarges pharyngeal cavity, but also avoids the postoperative complications. The modified UPPP could be better than the traditional operation.

About this research paper

What this paper is about

OBJECTIVE: To explore the effect of the modified (Uvulopalatopharyngoplasty, UPPP) where uvula is reserved completely and the soft palate is folded in the operation. METHODS: 36 patients with the obstructive sleep apnea-hypopnea syndrome (OSAHS) (30 men, 6 women) underwent operation. The uvula and the muscles of the soft palate were reserved completely, and the soft palate was folded during the operation. RESULTS: 31 patients (86.1%) reported improvement of snoring and daytime somnolence. 30 patients (83.33%) showed a decrease of at least 50% in the apnea and hypopnea indices (AHI). No velopalatal insufficiency occurred. CONCLUSION: The modified UPPP not only enlarges pharyngeal cavity, but also avoids the postoperative complications. The modified UPPP could be better than the traditional operation.

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Available abstract

OBJECTIVE: To explore the effect of the modified (Uvulopalatopharyngoplasty, UPPP) where uvula is reserved completely and the soft palate is folded in the operation. METHODS: 36 patients with the obstructive sleep apnea-hypopnea syndrome (OSAHS) (30 men, 6 women) underwent operation. The uvula and the muscles of the soft palate were reserved completely, and the soft palate was folded during the operation. RESULTS: 31 patients (86.1%) reported improvement of snoring and daytime somnolence. 30 patients (83.33%) showed a decrease of at least 50% in the apnea and hypopnea indices (AHI). No velopalatal insufficiency occurred. CONCLUSION: The modified UPPP not only enlarges pharyngeal cavity, but also avoids the postoperative complications. The modified UPPP could be better than the traditional operation.

Key concepts: Medicine, Uvulopalatopharyngoplasty, Soft palate, Hypopnea, Obstructive sleep apnea, Apnea, Sleep apnea, Anesthesia

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[Application of folded soft palate plasty to obstructive sleep apnea hypopnea syndrome]. — Research Paper | ScholarLens