[Uvulopalatopharyngoplasty: safety managements and causes of failure].
Uvulopalatopharyngoplasty operations on 250 patients were reported. The safety managements and failing causes of UPPP were discussed. Safety managements included 5 aspects: 1. using-local anesthesia rather than general anesthesia; 2. intraoperative monitor ECG, blood pressure and oxygen saturation; 3. tracheotomy should be performed in the severe cases before UPPP; 4. preoperative physician consultation if patients complicated with cardiopulmonary problems; 5. separated nasal and UPPP operations into two stages. Failing causes included 4 aspects: 1. improper indication; 2. polyplace obstruction, specially hypopharyngeal obstruction; 3. postoperative local hemorrhage and infection; 4. the experience and the skill of the surgeon.
Peng
P
P
PUMC Hospital, Beijing.
Wang
Z
Z
Zhang
L
L
D000328:Adult; D000368:Aged; D000075202:Contraindications; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000601:surgery*; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications; D012891:Sleep Apnea Syndromes / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014609:Uvula / Q000601:surgery*