[Clinical results of the surgical treatment of 1222 cases of chronic snoring].
Uvulopalatoplasty was performed (whether or not associated with tonsillectomy and/or septoplasty) in 1,222 cases of chronic rhonchopathy. Among them, 65 cases consisted of pre- and postoperatively registered sleep apnea syndrome. Clinical results were assessed on improvement of preoperative snoring, apneas, morning asthenia, daily sleepiness. Surgery was totally successful in 50% of cases, partially in 35%. Failure was encountered in 15% of cases. Failure or partial improvement are related to the preoperative presence of one or several of five particular risk factors: neck shortness, tongue hypertrophia, retrognathia, obesity and nasal pathology. Surgical complications were rare. Severe rhinolalia occurred in five cases: only three of them were sufficiently to accept plastic reconstruction which was successful.
Chouard
C H
CH
Service ORL, Hôpital Saint-Antoine, Paris.
Meyer
B
B
Chabolle
F
F
Fleury
B
B
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery; D010160:Palate, Soft / Q000601:surgery; D010292:Paresthesia / Q000209:etiology; D010608:Pharyngeal Diseases / Q000209:etiology; D011183:Postoperative Complications; D012307:Risk Factors; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000601:surgery; D012913:Snoring / Q000150:complications / Q000601:surgery*; D014068:Tonsillectomy
Résultats cliniques du traitement chirurgical dans 1 222 cas de rhonchopathie chronique.