Obstructive sleep apnea: variations in surgical management.
Forty patients with obstructive sleep apnea (OSA) were either treated by submucous resection, alone or by palatopharyngoplasty (PPP). Before surgery, each patient underwent a thorough sleep evaluation for the diagnosis of OSA. Of the 23 patients treated by submucous resection alone, eight had more than a 50% reduction in their apnea index and were considered successfully treated. Of the remaining 15, ten received a supplemental tongue retaining device (TRD). Five of the ten were markedly improved. The overall success rate in this group was 57%. Of the 17 patients treated by submucous resection and PPP, ten were treated successfully. Six of the remaining seven patients were subsequently treated with a TRD, which was successful in four. The overall success rate in this group was 82%.
D000402:Airway Obstruction / Q000503:physiopathology / Q000601:surgery; D004864:Equipment and Supplies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000601:surgery; D009300:Nasal Septum / Q000503:physiopathology / Q000601:surgery; D009305:Nasopharynx / Q000503:physiopathology / Q000601:surgery; D009668:Nose Diseases / Q000503:physiopathology / Q000601:surgery; D011391:Prolapse; D012891:Sleep Apnea Syndromes / Q000601:surgery*; D014059:Tongue / Q000503:physiopathology; D014060:Tongue Diseases / Q000503:physiopathology / Q000628:therapy