RESEARCH ARTICLE
Nobel Med 2006; 2(1): 15-20

SURGICAL SUCCESS IN MILD AND MODERATE OBSTRUCTIVE SLEEP APNEA SYNDROME

Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu
ABSTRACT
Aim:
Investigate the surgical outcomes of a uvulopalatal flap (UPF) in the treatment of patients with mild and moderate obstructive sleep apnea (OSA).

Materials and methods:
In our study we have evaluated the success rate of uvulopalatoplasty procedure in 13 patients by performing preoperative and postoperative polysomnography and nasopharyngoscopy (NFS). We used flexible scopes under propophol sedation for nasopharyngoscopic evaluation in our in-house patients. Two of the patients were not evaluated by preoperative nasopharyngoscopy because they had been operated in another centre. In all other patients in whom preoperative nasopharyngoscopy had been performed in our clinic, a retropalatal obstruction was diagnosed.

Findings:
Median age was 39(range: 23-67). Preoperative apnea hipopnea indices (AHI) was 22,3/h (range:12-41/h). Nine patients were diagnosed as moderate OSA and the remaining 4 patients were had mild OSA. Ten of the thirteen patients stated that their complaints improved after UPF. The remaining three patient’s snoring and nocturnal choking problems continued in spite of UPF. Postoperative AHI was (13 range: 4-20/h) for all individuals. In symptomatic group postoperative mean AHI was 20/h. In asymptomatic group mean AHI was 11/h (4-20). All individuals underwent postoperative NFS. In three symptomatic patients, the obstructive problems were found to be outside of the UPF operation area.

Results:
UPF is a successful technique for selected patients and NFS can be used preoperatively for OSA patients as a dynamic method to evaluate the obstruction area.

Keywords
Obstructive sleep apnea syndrome Uvulopalatopharyngoplasty Uvulopalatal flap Flexible nasopharyngoscopy

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  • Pubmed Style
    Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu. [HAFİF VE ORTA ŞİDDETLİ OBSTRÜKTİF UYKU APNE SENDROMUNDA CERRAHİ BAŞARI]. Nobel Med 2006; 2(1): 15-20, Turkish.
  • Web Style
    Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu. [HAFİF VE ORTA ŞİDDETLİ OBSTRÜKTİF UYKU APNE SENDROMUNDA CERRAHİ BAŞARI]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish.
  • AMA (American Medical Association) Style
    Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu. [HAFİF VE ORTA ŞİDDETLİ OBSTRÜKTİF UYKU APNE SENDROMUNDA CERRAHİ BAŞARI]. Nobel Med 2006; 2(1): 15-20, Turkish.
  • Vancouver/ICMJE Style
    Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu. [HAFİF VE ORTA ŞİDDETLİ OBSTRÜKTİF UYKU APNE SENDROMUNDA CERRAHİ BAŞARI]. Nobel Med (2006); 2(1): 15-20, [cited Mayıs 24, 2021], Turkish.
  • Harvard Style
    Murat Enöz, Sami Katırcıoğlu, Yusufhan Süoğlu, Çağlar Çuhadaroğlu. (2006) [HAFİF VE ORTA ŞİDDETLİ OBSTRÜKTİF UYKU APNE SENDROMUNDA CERRAHİ BAŞARI]. Nobel Med, 2(1): 15-20, Turkish.