title: [Transcervical tongue partial reduction combined with uvulopalatopharyngoplasty in treatment of obstructive sleep apnea-hypopnea syndrome].
abstract: OBJECTIVE
  To treat severe obstructive sleep apnea-hypopnea syndrome (OSAHS) with transcervical tongue partial reduction and evaluate treating effect.
  
  
  METHODS
  Forty four patients of severe OSAHS were treated with transcervical tongue partial reduction + uvulopalatopharyngoplasty (UPPP). Apnea hypopnea index (AHI), minimal oxygen percent saturation, body mass index (BMI), area of retroglossal region were measured for diagnosis and evaluation.
  
  
  RESULTS
  AHI decreased from (67.5 ± 21.1) times/h to (10.5 ± 6.8) times/h (t = 2.1, P < 0.01). The lowest oxygen percent saturation increased from 0.694 ± 0.009 to 0.829 ± 0.008 (t = 4.3, P < 0.01). The area of retroglossal region increased from (291.7 ± 107.8) mm² to (398.1 ± 94.5) mm² (t = 3.318, P < 0.05). Four patients complained dysphagia half year after operation. One patient complained about pharyngeal fistula, which disappeared in 2 weeks. One patient appeared hypoglossis bleeding, which stopped after compression.
  
  
  CONCLUSIONS
  Transcervical tongue partial reduction is an effective attempt and supplement for OSAHS with retroglossal region narrow.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China; Email: wangyumike@126.com.
authors.forename: Yu
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Zhixuan
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Zhijie
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Cao
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery of 263 Clinical Department of the General Hospital of Beijing Military Area, Beijing 101149, China.
authors.forename: Haiying
authors.initials: H
authors.lastname: Su
mesh_terms: D015992:Body Mass Index; D003680:Deglutition Disorders; D006801:Humans; D019647:Oral Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D010159:Palate / Q000601:surgery; D010614:Pharynx / Q000601:surgery; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D014059:Tongue / Q000601:surgery*; D014609:Uvula / Q000601:surgery