Document Detail


Single-session radiofrequency tongue base reduction combined with uvulopalatopharyngoplasty for obstructive sleep apnea syndrome.
MedLine Citation:
PMID:  18443811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study aimed to evaluate the efficacy and safety of single-session radiofrequency tongue base reduction (RTBR) combined with uvulopalatopharyngoplasty (UPPP) for the treatment of obstructive sleep apnea syndrome (OSAS). Sixty-six patients with multilevel obstruction underwent single-session RTBR combined with UPPP. Snoring, Epworth sleepiness scale (ESS) and polysomnography were used to assess outcome before and 6 months after treatment. Sixty-six patients completed this study. Snoring level significantly decreased from 8.0 to 4.3. The mean ESS score significantly decreased from 11.4 to 7.5. The mean apnea-hypopnea index decreased significantly from 22.9 to 13.9. The overall success rate of the single-session RTBR combined with UPPP was 53.6%. Postoperative AHI in 50% of patients was normalized (AHI < 5). The success rates for patients with mild, moderate and severe OSAS were 62.5, 46.2 and 57.1%, respectively. There were two adverse effects, one ulceration of the tongue base and one transient taste change. Single-session RTBR combined with UPPP is an effective and safe treatment for OSAS patients with multilevel obstruction. It could be considered as first treatment for OSAS patients with multilevel obstruction, independent of the severity of OSAS.
Authors:
Young Gyu Eun; Sung Wan Kim; Kee Hwan Kwon; Jae Yong Byun; Kun Hee Lee
Publication Detail:
Type:  Journal Article     Date:  2008-04-29
Journal Detail:
Title:  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     Volume:  265     ISSN:  1434-4726     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-10-23     Completed Date:  2009-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1495-500     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kyunghee University, #1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheter Ablation
Female
Humans
Male
Middle Aged
Otorhinolaryngologic Surgical Procedures / methods*
Palate, Soft / surgery
Pharynx / surgery
Sleep Apnea, Obstructive / surgery*
Tongue / surgery
Uvula / surgery
Young Adult

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


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