Comparing anterior palatoplasty and modified uvulopalatopharyngoplasty for primary snoring patients: preliminary results
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives: To evaluate and compare the long-term efficacy of modified uvulopalatopharyngoplasty (mUP(3),) and anterior palatoplasty (AP) techniques for treating snoring in a prospective clinical trial. Methodology: Patients with total apnea-hypopnea index values <5/per hour sleep were included in the study. Patients completed the Epworth sleepiness scale (ESS) and snoring visual analogue scale (VAS) before and 24 months after surgery, and a VAS for pain after the operation. Results: Twenty-four patients were in the mUP(3), group with a mean age of 42.1 +/- 11.8 years, and 26 in AP group with a mean age of 43.2 +/- 10.4 years. Snoring VAS values were significantly decreased after surgery in both groups (p<0.025), but changes between operative groups were not statistically significant (p>0.05). Patients' ESS scores in both groups significantly decreased (p<0.025), but ESS score changes between groups were not significantly different (p>0.05). Two years postoperatively, patient satisfaction was 85% in the AP group, and 70% in the MVP, group. Pain VAS values were significantly lower in the AP group than in the mUP(3), group (p<0.001). Eight patients (33.3%) in the mUP(3) group and one (7.7%) in the AP group reported nasal regurgitation of liquids upon swallowing during the first week postoperatively. Two years after the operation, 10 patients (41.6%) in the mUP(3) group and 9 (34.6%) in AP group still had a lump sensation in the throat. Conclusions: We compared the efficacy of the mUP(3), and AP techniques to treat patients with primary snoring and found less morbidity and more patient satisfaction in the AP group.
Açıklama
Anahtar Kelimeler
Snoring; anterior palatoplasty; uvulopalatopharyngoplasty; visual analog scale
Kaynak
B-Ent
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
9
Sayı
4
