title: Hypersomnia following uvulopalatopharyngoplasty for snoring.
abstract: This report describes three cases who underwent uvulopalatopharyngoplasty for severe snoring and who subsequently developed progressive excessive daytime sleepiness. All three cases were shown to have sleep fragmentation as a result of non-apnoeic episodic upper airway narrowing. These cases raise the possibility that increased upper airway resistance during sleep may be exacerbated or even caused by uvulopalatopharyngoplasty. Ideally, sleep-disordered breathing should be carefully excluded before this surgery is offered as treatment for severe snoring.
authors.affiliation: Respiratory Dept, Bristol Royal Infirmary, UK.
authors.forename: R P
authors.initials: RP
authors.lastname: Smith
authors.forename: J L
authors.initials: JL
authors.lastname: Pépin
authors.forename: J R
authors.initials: JR
authors.lastname: Catterall
authors.forename: P A
authors.initials: PA
authors.lastname: Lévy
mesh_terms: D000328:Adult; D002508:Cephalometry; D006970:Disorders of Excessive Somnolence / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects*; D010614:Pharynx / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012913:Snoring / Q000000981:diagnostic imaging / Q000601:surgery*; D014609:Uvula / Q000601:surgery*