title: Comparing anterior palatoplasty and modified uvulopalatopharyngoplasty for primary snoring patients: preliminary results.
abstract: OBJECTIVE
  To evaluate and compare the long-term efficacy of modified uvulopalatopharyngoplasty (mUP3) and anterior palatoplasty (AP) techniques for treating snoring in a prospective clinical trial.
  
  
  METHODS
  Patients with total apnea-hypopnea index values < 5/per hour sleep were included in the study. Patients completed the Epworth sleepiness scale (ESS) and snoring visual analogue scale (VAS) before and 24 months after surgery, and a VAS for pain after the operation.
  
  
  RESULTS
  Twenty-four patients were in the mUP3 group with a mean age of 42.1 +/- 11.8 years, and 26 in AP group with a mean age of 43.2 +/- 10.4 years. Snoring VAS values were significantly decreased after surgery in both groups (p < 0.025), but changes between operative groups were not statistically significant (p > 0.05). Patients' ESS scores in both groups significantly decreased (p < 0.025), but ESS score changes between groups were not significantly different (p > 0.05). Two years postoperatively, patient satisfaction was 85% in the AP group, and 70% in the mUP3 group. Pain VAS values were significantly lower in the AP group than in the mUP3 group (p < 0.001). Eight patients (33.3%) in the mUP3 group and one (7.7%) in the AP group reported nasal regurgitation of liquids upon swallowing during the first week postoperatively. Two years after the operation, 10 patients (41.6%) in the mUP3 group and 9 (34.6%) in AP group still had a lump sensation in the throat.
  
  
  CONCLUSIONS
  We compared the efficacy of the mUP3 and AP techniques to treat patients with primary snoring and found less morbidity and more patient satisfaction in the AP group.
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey. kserifeboynukalin@yahoo.com
authors.forename: K S
authors.initials: KS
authors.lastname: Ugur
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Kurtaran
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Ark
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Kizilbulut
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Yuksel
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Turgut Ozal University, Faculty of Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Gunduz
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010160:Palate, Soft / Q000601:surgery*; D017060:Patient Satisfaction; D010614:Pharynx / Q000601:surgery*; D011184:Postoperative Period; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D012890:Sleep / Q000502:physiology*; D012913:Snoring / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014602:Uvea / Q000601:surgery*