Document Detail


Laser-assisted uvulopalatoplasty for snoring and obstructive sleep apnea: results in 170 patients.
MedLine Citation:
PMID:  7666729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laser-assisted uvulopalatoplasty (LAUP) is a procedure for the treatment of snoring and, possibly, sleep apnea. Between July 1993 and December 1994, the authors prospectively evaluated 541 consecutive patients referred to their teaching hospital for possible LAUP to treat loud, disruptive snoring. Of these patients, 274 (51%) had one or more LAUP treatments. As of January 1995, LAUP treatment courses were completed in 170 patients. In this paper, the authors report preliminary results on the use of LAUP in these patients. Among the 170 patients, 105 (62%) had a diagnosis of snoring and 65 (38%) obstructive sleep apnea syndrome (OSAS) based on preoperative polysomnography. LAUP treatment in the snoring only patients resulted in complete or nearly complete elimination of snoring in 63 patients (60%), partial improvement of snoring in 30 patients (29%), and no improvement in 11 patients (10%). Of the 65 OSAS patients treated with LAUP, postoperative polysomnograms were obtained in 33 patients (51%). Surgical success was achieved in 16 (48%) of the 33 patients. However, 7 patients (21%) had repeat polysomnograms that were worse than their preoperative polysomnograms, and 5 patients (15%) had no significant change. The results of this study suggest that LAUP may be a viable surgical option for patients with snoring and mild sleep apnea.
Authors:
R P Walker; M M Grigg-Damberger; C Gopalsami; M C Totten
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  105     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1995-10-10     Completed Date:  1995-10-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  938-43     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, Ill, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Humans
Laser Therapy*
Male
Middle Aged
Palate / surgery*
Polysomnography
Prospective Studies
Sleep Apnea Syndromes / surgery*
Snoring / surgery*
Treatment Outcome
Uvula / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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