title: Anterior palatoplasty for selected mild and moderate obstructive sleep apnea: preliminary results.
abstract: The aim of this prospective study was to evaluate the long-term efficacy anterior palatoplasty (AP) technique in treatment of patients with mild to moderate obstructive sleep apnea (OSA). Forty-two patients were diagnosed with mild to moderate OSA. Participants were treated with AP for mild or moderate OSA. Patients were evaluated with one night polysomnography before the surgery and 24 months after the surgery. Patients completed Epworth sleepiness scale (ESS), snoring VAS (visual analog scale) before and 24 months after the surgery. Forty two patients with a mean age of 39.2 ± 7.6 were included study. Success rate was 57.1%. Total apnea-hypopnea index (AHI) values significantly decreased after 2 years (p < 0.025). Non-REM AHI and supine AHI values significantly decreased after 2 years (p < 0.025). The oxygen desaturation index changes significantly decreased after AP (p < 0.025). Snoring VAS values significantly decreased after AP (p < 0.025). ESS scores of patients significantly decreased (p < 0.001). We believe that AP is an effective, inexpensive technique for mild and moderate OSA patients.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Turgut Ozal University Hospital, Alparslan Turkes Cad. No:57, Emek, 06510, Ankara, Turkey, kserifeboynukalin@yahoo.com.
authors.forename: Kadriye Serife
authors.initials: KS
authors.lastname: Ugur
authors.forename: Nebil
authors.initials: N
authors.lastname: Ark
authors.forename: Hanifi
authors.initials: H
authors.lastname: Kurtaran
authors.forename: Gultekin
authors.initials: G
authors.lastname: Kizilbulut
authors.forename: Alper
authors.initials: A
authors.lastname: Yuksel
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gunduz
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000601:surgery*; D017286:Polysomnography; D011446:Prospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D016896:Treatment Outcome