Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS.
OBJECTIVE
To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome.


METHODS
Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment.


METHODS
University ENT division with a tertiary snoring referral center.


METHODS
Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome.


METHODS
Pre- and post-operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post-treatment complication recording.


RESULTS
Complete response to therapy was obtained in 78% of patients. Four patients had relief of symptoms but retained apnea/hypopnea index scores greater than 5.


CONCLUSIONS
Uvulopalatopharyngoplasty associated with tonsillectomy can beemployed safely to treat patients with normal body mass index who suffer from severe obstructive sleep apnea.
Gallina
S
S
Dipartimento Neuroscienze Cliniche, U.O. Otorinolaringoiatria, Universith degli Studi di Palermo, Italia.
Dispenza
F
F
Kulamarva
G
G
Ballacchino
A
A
Speciale
Riccardo
R
D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery*; D010159:Palate / Q000601:surgery*; D010614:Pharynx / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D014068:Tonsillectomy; D016896:Treatment Outcome; D055815:Young Adult