title: Tonsillectomy with uvulopalatopharyngoplasty and tongue base surgery for treatment of obstructive sleep apnea.
abstract: OBJECTIVE
  The present study aimed to evaluate the efficacy of tonsillectomy with UPPP and tongue base surgery in the treatment of moderate to severe OSA.
  
  
  METHODS
  The present study employed a cross sectional design among 18 OSA patients undergoing surgery by a single surgeon from 2005 to 2009. The follow-up period was 25 to 37 months. Data included BMI, ESS and full night PSG recorded to compare pre- and post-operation.
  
  
  RESULTS
  In all, 14 of 18 patients (77.8%) carried out the reduction of AHI 50% or lower than 20, postoperatively, defined as the success group. Mean ESS was decreased from 11.11 to 4.77 (p < 0.001). Most patients were satisfied with their postoperative results and reduction of subjective symptoms.
  
  
  CONCLUSIONS
  A combined surgery in moderate and severe OSA had a surgical success rate of 77.8% in short and long term pos-toperation.
authors.affiliation: Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Prasit
authors.initials: P
authors.lastname: Mahakit
authors.forename: Pawintra
authors.initials: P
authors.lastname: Siriputhorn
authors.forename: Thanit
authors.initials: T
authors.lastname: Chalermwattanachai
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010159:Palate / Q000601:surgery*; D010614:Pharynx / Q000601:surgery*; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology / Q000601:surgery*; D014059:Tongue / Q000601:surgery*; D014068:Tonsillectomy; D016896:Treatment Outcome