Uvulopalatopharyngoplasty in snorers with sleep apneas: predictive value of presurgical polysomnography.
To determine its predictive value, polysomnography was performed on 14 snorers with sleep apnea syndrome (SAS) before and 3 months after uvulopalatopharyngoplasty (UPPP). In the 8 patients considered as cured (less than 10 apneas per hour after UPPP), total apnea index (TAI) decreased from 29.7 +/- 22.6 to 4.9 +/- 3.5. Rapid eye movement sleep (REM) increased from 10.9 +/- 3.6 to 14 +/- 5.7% of the total sleep period (TSP). In the 6 uncured patients, TAI decreased from 59.7 +/- 15.7 to 32 +/- 15.7 and REM increased from 7.7 +/- 5.6 to 15.8 +/- 7.2% of TSP. Snoring and drowsiness decreased in both cured and uncured patients. A presurgical apnea index less than 40 seems to be a reliable predictor of successful UPPP. The association of obstructive apnea with either central apnea or mixed apnea was not a factor of poor prognosis. Better sleeping could explain in part the clinical improvement in both cured and uncured patients, but postoperative polysomnography is needed to detect asymptomatic SAS.
Philip-Joet
F
F
Service de Pneumologie, CHU Nord, Marseille, France.
Rey
M
M
Triglia
J M
JM
Reynaud
M
M
Saadjian
M
M
Saadjian
A
A
Arnaud
A
A
D000328:Adult; D000368:Aged; D004562:Electrocardiography; D004568:Electrodiagnosis; D004569:Electroencephalography; D004576:Electromyography; D004585:Electrooculography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010160:Palate, Soft / Q000601:surgery*; D010614:Pharynx / Q000601:surgery*; D011237:Predictive Value of Tests; D011300:Preoperative Care; D011446:Prospective Studies; D012123:Pulmonary Ventilation / Q000502:physiology; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012894:Sleep Stages; D012913:Snoring / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D014609:Uvula / Q000601:surgery*
D010100:Oxygen