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Revised uvulopalatopharyngoplasty with uvula preservation and its clinical study

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机构: [1]Capitol Med Univ, Beijing Tongren Hosp, Dept Otolaryngol, Beijing 100730, Peoples R China
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关键词: apnea obstructive uvulopalatopharyngoplasty obstructive sleep apnea/hypopnea syndrome

摘要:
Objectives: A revised uvulopalatopharyngoplasty (UPPP) is reported for reducing the surgical complications without compromising the response. Methods and Materials: 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. Results: Polysomnography was performed for all 68 cases 6 months postoperatively with a surgical response of 69.12%, defined as a 1 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. Conclusions: These results suggest that H-UPPP is an effective surgery and produces fewer complications compared with the classic UPPP. Copyright (C) 2005 S. Karger AG, Basel.

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出版当年[2003]版:
Q3 OTORHINOLARYNGOLOGY
最新[2023]版:

影响因子: 最新[2023版] 最新五年平均 出版当年[2003版] 出版当年五年平均 出版前一年[2002版] 出版后一年[2004版]

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第一作者机构: [1]Capitol Med Univ, Beijing Tongren Hosp, Dept Otolaryngol, Beijing 100730, Peoples R China
通讯机构: [*1]Capitol Med Univ, Beijing Tongren Hosp, Dept Otolaryngol, Chongnei St 2, Beijing 100730, Peoples R China
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