[Modified uvula flap in therapy of sleep-related breathing disorders].
OBJECTIVE
Velopharyngeal incompetence is a well described complication of uvulopalatopharyngoplasty (UPPP) for snoring or obstructive sleep apnea. A new uvulopalatal flap technique (UPF), first presented by Powell in 1996 was now modified by our team. The new technique intends to lateralize the posterior faucial pillars as the UPPP, entirely sparing uvulopalatal muscles.


RESULTS
No statistical difference existed in change of AHI before and after surgery in all patients even though 14 patients had a statistically significant decrease in AHI (pre 19.2 +/- 19.6; after 8.2 +/- 9.8; p < 0.05). Snoring decreased clearly (p < 0.05) from 49.4% to 25.9%.
Hörmann
K
K
Universitäts-HNO-Klinik, 68135 Mannheim.
Erhardt
T
T
Hirth
K
K
Maurer
J T
JT
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000601:surgery*; D012913:Snoring / Q000209:etiology; D013524:Surgical Flaps; D013536:Suture Techniques; D014609:Uvula / Q000601:surgery*; D014681:Velopharyngeal Insufficiency / Q000209:etiology / Q000601:surgery*