title: Efficacy of radiofrequency volumetric tissue reduction of the soft palate in the treatment of snoring.
abstract: Traditional surgery for snoring often leads to intolerable postoperative pain. A new surgical treatment, radiofrequency volumetric tissue reduction (RVTR) of the soft palate, was carried out and its effect and safety in the management of snoring were evaluated. Thirty-two patients received a single treatment of RVTR with a mean follow-up period of 4.5 months. All patients were assessed by a questionnaire using the Snore Outcomes Survey (SOS) and the Epworth Sleepiness Scale (ESS). Postoperative pain, speech and swallowing disturbances were also evaluated. The postoperative scores of SOS and ESS all significantly improved (p<0.05). Postoperative pain, speech and swallowing disturbances were all mild 1-3 days after treatment. With the success of treatment defined as a postoperative snoring index (SI) of <3 or a reduction of the SI by >5 points by the visual analogue scale, the success rate was 81.3% in patients with a respiratory disturbance index (RDI) of <20, and 50% in those with an RDI of >20. We conclude that RVTR of the soft palate is an effective treatment for snoring, resulting in only mild postoperative discomfort. A patient whose RDI was <20 had a higher success rate with a single RVTR treatment.
authors.affiliation: Department of Otolaryngology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: T J
authors.initials: TJ
authors.lastname: Fang
authors.forename: H Y
authors.initials: HY
authors.lastname: Li
authors.forename: C W
authors.initials: CW
authors.lastname: Shue
authors.forename: L A
authors.initials: LA
authors.lastname: Lee
authors.forename: P C
authors.initials: PC
authors.lastname: Wang
mesh_terms: D000328:Adult; D004598:Electrosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D010160:Palate, Soft / Q000601:surgery*; D010342:Patient Acceptance of Health Care; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000601:surgery*; D012913:Snoring / Q000209:etiology / Q000601:surgery*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome