Z-palatoplasty (ZPP): a technique for patients without tonsils

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael FriedmanNinos J Joseph

Abstract

Patients without tonsils and with Friedman tongue position (FTP) III and IV are poor candidates for uvulopalatopharyngoplasty (UP3). Even when combined with adjunctive hyopharyngeal techniques, results are poor. We assessed a modified uvulopalatoplasty based on a bilateral Z-plasty in treating patients without tonsils who have obstructive sleep apnea/hypopnea syndrome (OSAHS). 25 patients treated with a modified technique were matched with 25 patients previously treated with classic UP3. All patients in both groups also had radiofrequency tongue base reduction. Preoperative vs. postoperative measures of objective treatment success and subjective symptoms were compared for the 2 groups. Morbidity, including pain levels, narcotic use, and return to solid diet and normal activity, as well as complications were studied. Subjective improvement was good for both groups, but objective clinical improvement was significantly better for the experimental group. Morbidity and complications for the experimental group were comparable to the control group and to other published series on UP3. A modified technique for patients without tonsils who have OSAHS is presented. The new technique is more successful with acceptable morbidity for patien...Continue Reading

References

Apr 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R RileyF B Simmons
Nov 1, 1981·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·S FujitaT Roth
Aug 12, 1998·American Journal of Respiratory and Critical Care Medicine·W W Flemons, M A Reimer
May 6, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N B PowellC Guilleminault
Dec 11, 1999·The Laryngoscope·M FriedmanD Caldarelli
Aug 30, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B A SeniorR Day
Dec 22, 2000·Spine·J E Ware
Aug 6, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanLee Bass
Dec 10, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanNinos J Joseph
Apr 20, 2004·The Laryngoscope·Michael FriedmanNinos J Joseph

❮ Previous
Next ❯

Citations

Mar 25, 2016·The Indian Journal of Surgery·Tülin Yıldız, Deniz Selimen
Apr 10, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanNinos J Joseph
Apr 28, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hong L YiJian Guan
Jul 8, 2011·The Journal of Laryngology and Otology·M J L Ravesloot, N de Vries
Aug 27, 2011·The Journal of Laryngology and Otology·D HanL Zhang
Mar 20, 2012·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·J P van MaanenN de Vries
Mar 19, 2008·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·Emke van den BroekNico de Vries
Oct 27, 2009·HNO·T VerseUNKNOWN ArGe Schlafmedizin der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie
Nov 10, 2012·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·Hasan TanyeriCaglar Cuhadaroglu
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
Jun 3, 2015·Chest·David F SmithStacey L Ishman
Aug 11, 2015·The Laryngoscope·Dina GolbinKathleen Yaremchuk
Apr 7, 2012·Dental Clinics of North America·Ofer Jacobowitz
Jul 4, 2007·Otolaryngologic Clinics of North America·Michael Friedman, Paul Schalch
Jul 4, 2007·Otolaryngologic Clinics of North America·Richard L Goode
Jan 30, 2014·Brazilian Journal of Otorhinolaryngology·Macario CamachoRobson Capasso
Aug 19, 2009·The Laryngoscope·Hsueh-Yu Li, Li-Ang Lee
Nov 18, 2008·Sleep Medicine Reviews·Michael Friedman, Meghan Wilson
Nov 18, 2008·Sleep Medicine Reviews·B Tucker Woodson
Apr 13, 2015·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·Claudio ViciniMario Mantovani
Jul 7, 2015·International Journal of Pediatric Otorhinolaryngology·Jared J TompkinsJerome W Thompson
Feb 25, 2015·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·Marina Carrasco-LlatasJosé Dalmau-Galofre
Nov 5, 2016·Otolaryngologic Clinics of North America·Kathleen Yaremchuk
Nov 5, 2016·Otolaryngologic Clinics of North America·Zarmina Ehsan, Stacey L Ishman
Mar 7, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hsin-Ching LinSreeya Yalamanchali
Mar 6, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Lin WangYong Xin Qin
Jan 17, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanT K Venkatesan
Oct 6, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·F MontevecchiC Vicini
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hong Liang YiShan Kai Yin
Mar 11, 2018·Scientific Reports·Hsueh-Yu LiMeiho Nakayama
Feb 1, 2017·Neurology. Clinical Practice·Patrick Pavwoski, Anita Valanju Shelgikar
Nov 26, 2019·The Laryngoscope·Kenny P PangBrian Rotenberg
May 29, 2018·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·Kenny Peter PangBrian Rotenberg
Jul 11, 2019·The Journal of Laryngology and Otology·M A BabademezM Sancak
Jul 6, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Sandeep DachuriSrividya Rao Vasista
Dec 10, 2016·HNO·T Verse, B A Stuck
Sep 29, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Nilesh MadkikarVirendra Ghaisas
Mar 23, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Scott E BrietzkeEric J Kezirian
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Kenny P PangBrian Rotenberg
Jun 23, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Mohamed EesaMohammad Waheed El-Anwar

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael FriedmanNinos J Joseph
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael FriedmanNinos J Joseph
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael FriedmanLee Bass
© 2022 Meta ULC. All rights reserved