Countermeasures against perioperative complications in 60 OSAHS patients treated with modified uvulopalatopharyngopasty

Objective To summarize anesthesia and surgical complications in 60 patients suffering from obstructive sleep apnea hypopnea syndrome(OSAHS) treated with modified uvulopalatopharyngopasty and analyse the prevention measures adopted.Methods Of all the 60 cases,modified uvulopalatopharyngoplasty(UPPP) was applied to 5 under local anesthesia and 55 under general anesthesia separately.Meanwhile,6 cases received combined hyoid suspension.Results One patient with acute respiratory failure induced by anesthesia induction was successfully rescued.Postoperative complications included primary hemorrhage(8 cases),secondary hemorrhage(3 cases),short breath(1 case),dehiscence(10 cases),and short-term velopharyngeal insufficiency(5 cases).Two of the 6 cases received combined hyoid suspension had mouth floor edema.No long-term operation complications occurred.Conclusion The standard perioperative managements,such as preoperative tracheotomy in advance of UPPP,or CPAP treatment,awake intubation anesthesia,delayed postoperative extubation for severe patients,can effectively avoid the anesthesia and surgical complications in modified UPPP.