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Evaluation of the effectiveness of uvulopalatopharyngoplasty
Author(s) -
Conway William A.,
Slcklesteel Jeanne M.,
Wittig Robert M.,
Fujita Shiro,
Zorick Frank J.,
Roehrs Timothy A.,
Roth Thomas
Publication year - 1985
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 - 10.1288/00005537-198501000-00017
Subject(s) - uvulopalatopharyngoplasty , medicine , apnea , obstructive sleep apnea , anesthesia , sleep apnea , hypoxia (environmental) , excessive daytime sleepiness , sleep (system call) , sleep disorder , insomnia , polysomnography , chemistry , operating system , organic chemistry , psychiatry , oxygen , computer science
A new surgical procedure to treat obstructive sleep apncn by uvulopalatopharyngoplasty (UPPP) was evaluated in 66 patients, 63 men and 3 women, with objectively documented sleep apnea syndrome. Removal of redundant tissue in the oropharynx (UPPP) significantly improved excessive daytime sleepiness, reduced by half the frequency of apneas and hypoxia occurring during sleep, and improved the quality of sleep. Closer analysis indicated that all 66 patients did not benefit to the same degree. Among patients classified as responders, the frequency of apnea was reduced to a level seen in healthy adults of the same age, measures of sleep approached normal, and excessive daytime sleepiness was eliminated. In nonresponders, frequency of apnea and consequent disruption of sleep was not reduced, but nocturnal hypoxia was improved.