PMID: 9185728Jun 1, 1997Paper

Retropalatal airway characteristics in uvulopalatopharyngoplasty compared with transpalatal advancement pharyngoplasty

The Laryngoscope
B T Woodson

Abstract

Uvulopalatopharyngoplasty (UPPP) is reported successful in treatment of obstructive sleep apnea for approximately 50% of patients. Several modifications of the procedure have been described, including transpalatal advancement pharyngoplasty, which resects a portion of posterior hard palate and advances the soft palate anteriorly. Comparing effectiveness of different techniques based on sleep and respiratory data is confounded by multiple variables including clinical failure at nonsurgical sites and imprecise patient selection techniques. Since pharyngeal surgical procedures prevent collapse and obstruction by structurally modifying the upper airway, measuring structural changes in size and collapsibility provides a method to compare techniques. To evaluate whether transpalatal advancement pharyngoplasty is more effective in modifying upper airway characteristics than UPPP, upper airway cross-sectional size and collapsibility were measured after UPPP and transpalatal advancement pharyngoplasty. Six patients were evaluated using a quantitative endoscopic technique. After transpalatal advancement pharyngoplasty maximal retropalatal airway size increased 321% from 29.7 +/- 9.9 to 95.3 +/- 16 mm2 (P < 0.01), and retropalatal closing...Continue Reading

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Citations

Apr 10, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanNinos J Joseph
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Atul MalhotraDavid P White
Oct 27, 2009·HNO·T VerseUNKNOWN ArGe Schlafmedizin der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie
May 19, 2010·Expert Review of Respiratory Medicine·Winfried J Randerath
Jul 4, 2007·Otolaryngologic Clinics of North America·Richard L Goode
Sep 6, 2003·Otolaryngologic Clinics of North America·K Christopher McMains, David J Terris
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·B Tucker Woodson
Jun 13, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Keith VolnerMacario Camacho
Feb 8, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B Tucker WoodsonArmando A Gama
Jun 5, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Junbo ZhangJiajia Dong
Nov 1, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Murat Binar, Omer Karakoc
Aug 10, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B Tucker WoodsonHyun J Lim
Jul 6, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Marcello BosiGiulio Alessandri-Bonetti
Jul 6, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Eugenio De CorsoEmanuele Scarano
Jul 23, 2003·Clinical Otolaryngology and Allied Sciences·S RobinsonS McPeake
Jul 2, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B Tucker Woodson

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