A revised uvulopalatopharyngoplasty (UPPP) is reported for reducing the surgical complications without compromising the response.A new method of performing UPPP was designed, in which the uvula is preserved, but a larger portion of the soft palate is removed. This new procedure is called the 'revised UPPP with uvula preservation' (Han's UPPP or H-UPPP), the characteristics of which are as follows: complete preservation of the uvula; larger portion of the soft palate resected (with the levator palati and tensor palati remaining intact); the adipose tissue in the space of the velum palati is removed; the preserved uvula will become a 'normal' one by the contraction of scar tissue on both sides of the musculus palato-uvularis and the lower margin of the tensor palati. 68 cases of obstructive sleep apnea/hypopnea syndrome had been treated with H-UPPP between September 1998 and May 2001.Polysomnography was performed for all 68 cases 6 months postoperatively with a surgical response of 69.12%, defined as a >50% reduction of the apnea-hypopnea index and <20 apneic pauses/h; no palatopharyngeal incompetency or palatopharyngeal stenosis. Anatomic measurements showed that the preserved uvula in H-UPPP begins to retract 2 weeks postoperatively, and the preserved uvula becomes 'normal' in 3-6 months.These results suggest that H-UPPP is an effective surgery and produces fewer complications compared with the classic UPPP.
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外文
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最新[2023]版:
大类|4 区医学
小类|4 区耳鼻喉科学
第一作者:
第一作者机构:[1]The Department of Otolaryngology, Beijing Tongren Hospital, Capitol Medical University, Beijing, China.
通讯作者:
通讯机构:[1]The Department of Otolaryngology, Beijing Tongren Hospital, Capitol Medical University, Beijing, China.[*1]Beijing Tongren Hospital Chongnei Street 2 100730 Beijing (China)
推荐引用方式(GB/T 7714):
Han Demin,Ye Jingying,Lin Zhonghui,et al.Revised uvulopalatopharyngoplasty with uvula preservation and its clinical study.[J].ORL; Journal For Oto-Rhino-Laryngology And Its Related Specialties.2005,67(4):213-9.doi:10.1159/000087390.
APA:
Han Demin,Ye Jingying,Lin Zhonghui,Wang Jun,Wang Jiangyong&Zhang Yuhuan.(2005).Revised uvulopalatopharyngoplasty with uvula preservation and its clinical study..ORL; Journal For Oto-Rhino-Laryngology And Its Related Specialties,67,(4)
MLA:
Han Demin,et al."Revised uvulopalatopharyngoplasty with uvula preservation and its clinical study.".ORL; Journal For Oto-Rhino-Laryngology And Its Related Specialties 67..4(2005):213-9