Document Detail

Plasma radiofrequency preceded by pressure recording enhances success for treating sleep-related breathing disorders.
MedLine Citation:
PMID:  17415146     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Sleep-related breathing disorders (SRBD) that cannot be treated conservatively are commonly treated using uvulopalatopharyngoplasty, although success rates are generally less than 70%. The purpose of this study was to assess a plasma-mediated radiofrequency (RF)-based coblation assisted upper airway procedure (CAUP) to treat SRBD patients determined to have obstruction localized to the upper (mid)-pharyngeal region. STUDY DESIGN: Prospective case series (n = 40). METHODS: Six patients had socially bothersome snoring, and 34 patients had mild to moderate sleep apnea (apnea/hypopnea index [AHI] <20), with the primary level of obstruction (>50%) within the upper pharyngeal region as determined using whole night recordings, including airway pressure fluctuation monitoring (ApneaGraph, MRA-Medical Ltd, Gloucestershire, UK). CAUP consisted of making a lateral palatal incision, ablating three upward channels on each side of the midline (fan-shaped) into the soft palate using a plasma mediated RF-based device (ArthroCare Corporation, Austin, TX), and performing a partial uvulectomy. Clinical outcomes included the Epworth Sleepiness Scale (ESS), partner rating of snoring using a visual analogue scale (VAS), and night-time apnea and hypopnea events (AHI, hypopnea index [HI], apnea index [AI]). RESULTS: Patients were 28 to 68 (46 +/- 12) years old; 28 (70%) were male. Preoperatively, clinical assessment scores (median +/- interquartile range) were as follows: ESS (11.0 +/- 3.0), VAS (8.15 +/- 1.00), AHI (9.58 +/- 5.58), HI (9.00 +/- 5.29), AI (0.333 +/- 0.625). After CAUP, no postoperative scarring, fibrosis, or any other clinically significant side effects were observed. Postoperatively (9.1 +/- 1.5; 7-15 mo), ESS (4.0 +/- 1.0), VAS (2.70 +/- 1.38), AHI (3.75 +/- 2.92), HI (3.58 +/- 2.50), and AI (0.167 +/- 0.167) were significantly improved (P < .001). CONCLUSION: CAUP preceded by site-specific obstruction diagnosis using pressure recording is a well-tolerated outpatient treatment that is well suited for treating SRBD.
Magne Tvinnereim; Svetislav Mitic; Rolf K Hansen
Related Documents :
3400846 - Isoflurane for conscious sedation.
11034726 - Domiciliary oxygen for chronic obstructive pulmonary disease.
23664036 - Antegrade eversion endarterectomy of the external iliac artery.
15888496 - Clinical efficacy and survival with first-line inhaled iloprost therapy in patients wit...
2021856 - Possum: a scoring system for surgical audit.
24803156 - Ocular surface alterations in blepharospasm patients treated with botulinum toxin a inj...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  117     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-06     Completed Date:  2007-05-17     Revised Date:  2008-06-24    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  731-6     Citation Subset:  IM    
EuroSleep, Bergen, Norway.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Catheter Ablation / instrumentation*
Disorders of Excessive Somnolence / diagnosis,  epidemiology
Middle Aged
Otorhinolaryngologic Surgical Procedures / methods
Palate, Soft / surgery
Pharynx / surgery
Severity of Illness Index
Sleep Apnea Syndromes / blood*,  epidemiology,  surgery*
Sleep Apnea, Obstructive / diagnosis,  epidemiology
Snoring / diagnosis,  epidemiology
Uvula / surgery
Comment In:
Laryngoscope. 2007 Dec;117(12):2260-1; author reply 261   [PMID:  18322426 ]

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

Previous Document:  Optimal graft thickness for different sizes of tympanic membrane perforation in cartilage myringopla...
Next Document:  Olfaction and olfactory epithelium in mice treated with zinc gluconate.