title: Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS.
abstract: 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.
authors.affiliation: Dipartimento Neuroscienze Cliniche, U.O. Otorinolaringoiatria, Universith degli Studi di Palermo, Italia.
authors.forename: S
authors.initials: S
authors.lastname: Gallina
authors.forename: F
authors.initials: F
authors.lastname: Dispenza
authors.forename: G
authors.initials: G
authors.lastname: Kulamarva
authors.forename: A
authors.initials: A
authors.lastname: Ballacchino
authors.forename: Riccardo
authors.initials: R
authors.lastname: Speciale
mesh_terms: 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