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KMID : 1195620150080020136
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Clinical and Experimental Otorhinolaryngology
2015 Volume.8 No. 2 p.136 ~ p.141
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A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel Obstruction
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Chen Shicai
Shi Song
Xia Yanghui
Zhu Minhui
Zhang Caiyun
Zia Siwen
Zheng Hongliang
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Abstract
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Objectives: To investigate the surgical outcomes of different uvulopalatopharyngoplasty (UPPP).
Methods: All subjects underwent overnight polysomnography and were evaluated using the Epworth sleepiness scale (ESS), the Quebec sleep questionnaire and the snoring scale at the baseline and 3 and 12 months following operation. The primary endpoint was the overall effective rate representing the sum of the surgical success rate and effective rate.
Results: The overall effective rate at 12 months post surgery was 55.6% for simple UPPP, 95.8% for UPPP+GA, and 92.3% for UPPP+TBA. The surgical success rate at 3 and 12 months postoperation for UPPP+GA or UPPP+TBA was significantly higher than simple UPPP (P<0.05). Marked improvement was observed in all patients in the snoring scale score and the ESS score 3 and 12 months following surgery compared to the baseline (P<0.05 in all).
Conclusion: UPPP, UPPP+GA, and UPPP+TBA are all effective in improving the surgical outcome of obstructive sleep apnea hypopnea syndrome (OSAHS) patients with multilevel obstruction. UPPP+TBA appears to be the most effective in treating OSAHS patients.
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KEYWORD
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Sleep Apnea Syndromes, Uvulopalatopharyngoplasty, Genioglossus Advancement, Tongue Base Advancement, Repose System, Epworth Sleepiness Scale
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