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PASS Palatal Advancement and Suspension Suture Technique: A Novel, Minimally Invasive Uvulopalatopharyngoplasty Technique for Sleep Apnea
Author(s) -
Melder Patrick C.
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22206
Subject(s) - uvulopalatopharyngoplasty , citation , fibrous joint , medicine , general surgery , library science , apnea , surgery , computer science , anesthesia , polysomnography
There were no complications of VPI in any patient. During the initial use of the procedure, CV-3 gortex®++ suture was used and later ethibond® suture was used. Because of the narrow width of the palate in the region of the hamulus, suture/knot extrusion was the most frequent complication occurring in 25% of the patients. Removal or trimming of the exposed suture in clinic resolved this. 10% experienced infection of the wound site which resolved after antibiotics. The pursuit of the perfect palatal procedure for snoring and OSAS remains elusive. Pang and Woodson have significantly advanced innovative palatal procedures with the lateral pharyngoplasty and palatal advancment.4,5 J. Hur describes a “sling snoreplasty” in which a permanent (4.0 nylon) is used in the clinic setting to address snoring.6