title: Patients' and cohabitants' reports on snoring and daytime sleepiness, 1-8 years after surgical treatment of snoring.
abstract: A follow-up study was performed with the aim to evaluate all individuals surgically treated by the uvulopalatopharyngoplasty (UPPP) or laser uvulopalatoplasty (LUPP) method from a whole county in Sweden, 1-8 years after surgery, by assessing snoring occurrence and daytime sleepiness, as experienced by the patients and their cohabitants. Questionnaires were mailed to all operated people (n = 457) and were returned by 91% (346 men, 69 women) preoperatively diagnosed as habitual snorers (n = 255), cases of obstructive sleep apnea syndrome (n = 110) and unspecified snorers (n = 48). In addition 345 bedpartners participated. For outcome of surgery, no significant differences in diagnoses or sex were found. Improvement in snoring occurrence was reported by 89.6% of the patients, confirmed by 92% of the cohabitants (r = 0.84, p < 0.01). The remaining snoring occurrence was significantly dependent on the surgical method and the time after operation. Excessive daytime sleepiness (EDS) was experienced by 73.3% of the patients compared to 67% reported by the cohabitants. Of 415 patients operated on, 18% were free from snoring and 25% were free from EDS. Individuals with a shorter time since surgery reported less snoring. The UPPP method gave a significantly better result than LUPP for the symptom 'snoring'.
authors.affiliation: Department of Medicine and Care, Faculty of Health Sciences, Link opings University, Linköping, Sweden. Britt.Hagert@Hul.liu.sc
authors.forename: B
authors.initials: B
authors.lastname: Hagert
authors.forename: L K
authors.initials: LK
authors.lastname: Wahren
authors.forename: K
authors.initials: K
authors.lastname: Wikblad
authors.forename: L
authors.initials: L
authors.lastname: Odkvist
mesh_terms: D000328:Adult; D000368:Aged; D001288:Attention / Q000502:physiology; D015992:Body Mass Index; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010160:Palate, Soft / Q000601:surgery; D017060:Patient Satisfaction; D010614:Pharynx / Q000601:surgery; D012044:Regression Analysis; D012891:Sleep Apnea Syndromes / Q000503:physiopathology / Q000601:surgery; D012894:Sleep Stages / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000503:physiopathology; D012913:Snoring / Q000503:physiopathology* / Q000601:surgery; D011795:Surveys and Questionnaires; D013548:Sweden; D016896:Treatment Outcome; D014609:Uvula / Q000601:surgery