PMID: 3747695Sep 1, 1986Paper

Severity of sleep apnea as a predictor of successful treatment by palatopharyngoplasty

The Laryngoscope
D D CaldarelliJ K Lilie

Abstract

As awareness and understanding of obstructive sleep apnea has increased so has the number of treatments for this disorder. Options include surgical procedures: tracheostomy, palatopharyngoplasty (PPP), and mandibular advancement. Other treatments are medication, nasal CPAP, Tongue Retaining Device, and a position alarm. With these numerous choices available, it is important that reliable indicators be developed to guide treatment choice. And although PPP surgery is a one-time intervention with possibility of permanent correction, reports of percentages of successful treatment have varied widely from 85% to 0%. This has led us to investigate predictors of successful treatment. Twenty-two patients treated with PPP following their diagnosis by standard clinical polysomnography were restudied an average of 8 weeks later. When 11 successful cases were compared to 11 unsuccessful cases, successes were found to be initially more severely apneic (mean AI = 90.55 versus 49.45). Palatopharyngoplasty appears to be most appropriate for the sleep apnea patient whose apnea index is 70 or above and less effective for milder cases.

Citations

Jan 1, 1993·The American Review of Respiratory Disease·S H LaunoisJ E Remmers
Jul 16, 2011·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·Mansur SufioğluSelcuk Onart
Feb 28, 2013·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·Su Ru LiuKai Ming Su
May 22, 2009·Cranio : the Journal of Craniomandibular Practice·G Dave SinghGiora Pillar
Dec 1, 1989·Neurophysiologie clinique = Clinical neurophysiology·F LaffontH P Cathala
Jan 1, 1992·Acta Oto-laryngologica. Supplementum·G DjupeslandO B Godtlibsen
Jul 1, 1989·The Annals of Otology, Rhinology, and Laryngology·R A MacalusoA Matragrano
Aug 1, 1990·Nihon Jibiinkoka Gakkai kaiho·K AsakuraA Kataura

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