title: Surgical alternatives to uvulopalatopharyngoplasty in sleep apnea syndrome.
abstract: Uvulopalatopharyngoplasty (UPPP) is the surgery most often performed for sleep apnea syndrome (SAS). However, good results with UPPP, demonstrated by polysomnography, have been reported in only 50% of cases. Failure of UPPP may be caused by: 1) bad management of the SAS, which is better treated in some patients with nasal CPAP than with surgery; and 2) an airway obstruction located not only at the palatopharynx (PP) level. Other surgical procedures to enlarge other sites of obstruction are described. Retro-tongue-base-pharynx (RTBP) surgery is emphasized, including mandibular advancement, hyoid bone suspension, and tongue base reduction. Maxillomandibular advancement is the most efficient technique but also the most complicated.
authors: Service ORL, Hôpital Saint Charles, CHU Montpellier, France.
authors: L
authors: L
authors: Crampette
authors: B
authors: B
authors: Carlander
authors: M
authors: M
authors: Mondain
authors: M
authors: M
authors: Billiard
authors: B
authors: B
authors: Guerrier
authors: Y
authors: Y
authors: Dejean
mesh_terms: D000402:Airway Obstruction / Q000150:complications / Q000601:surgery; D005927:Glossectomy; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery; D007013:Hypopharynx / Q000601:surgery; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D010027:Osteotomy; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000601:surgery