Clinical study of the surgical treatment on obstructive sleep apnea hypopnea syndrome
XU Qiao-Lian, TIAN An-Yong
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 484-486.
Clinical study of the surgical treatment on obstructive sleep apnea hypopnea syndrome
Objective To explore surgical treatment methods we analyse OSAHS cases of inpatien department. Methods 40 cases underwent 3 different surgical treament methods. According to surgerical methods, 40 cases were divided into 3 groups: low temperature coblation-assisted uvunlopalatopharyng oplasty (first group, 24 cases), low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery at one time (second group, 8 cases), low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery at two times (third group, 8 cases). Patient charts were reviewed and preoperative and postoperative apnea-hypopnea index 3 months after the surgery (AHI), minimum oxygen saturation were evaluated. Result In the first group, the effect was successful in 3cases, excellent in 15 cases, good in 6 cases. In the second group, the effect was successful in 6 cases, excellent in 2 cases. In the third group before second operation, the effect was excellent in 2 cases, good in 4 cases and useless in 2 cases. After the second operation, the effect increased to bieng successful in 6 cases, excellent in 2 cases. Conclusions A significantly high operation success rate can be expected after surgical correction with low temperature coblation-assisted uvunlopalatopharyngoplasty for soft palate obstruction after whereas a low operation success rate can be found in the third group before their second operation. Both low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery are needed when nasal and palate obstructions are present.
Obstructive sleep apnea hypopnea syndrome / Uvunlopalatopharyngoplasty / Low temperature coblation
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