Document Detail


Uvulopalatopharyngoplasty for obstructive sleep apnea: a community's experience.
MedLine Citation:
PMID:  1602908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Uvulopalatopharyngoplasty (UPPP) has become an accepted method for treating obstructive sleep apnea (OSA), with a reported success rate as high as 77%, depending upon inclusionary and outcome criteria. The authors reviewed the records of 90 patients with moderately severe OSA (apnea plus hypopnea index [AHI] greater than 20) who underwent UPPP at either a private community or an academic hospital. Forty percent of patients experienced more than a 50% reduction in their AHI with UPPP. Only 22 (24%) of the patients had a postoperative AHI less than 50% of the preoperative AHI and less than 20, i.e., met the authors' criteria for surgical success. The success rate for community otolaryngologists was no different than that achieved in the academic institution. When data from previously published reports were analyzed using these criteria for success, similar results were observed. This study suggests that the effectiveness of UPPP performed by the general otolaryngologic community is equivalent to that reported in the literature. However, more rigorous criteria must be applied to UPPP when evaluating its results and in counseling potential candidates for this procedure.
Authors:
R H Maisel; P J Antonelli; C Iber; M Mahowald; K S Wilson; B Fiedler; J Schluter
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  The Laryngoscope     Volume:  102     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-07-10     Completed Date:  1992-07-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  604-7     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, Hennenin County Medical Center, Minneapolis, MN 55415.
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MeSH Terms
Descriptor/Qualifier:
Adult
Airway Obstruction / physiopathology,  surgery
Body Mass Index
Female
Hospitals, Community
Hospitals, Private
Hospitals, Teaching
Humans
Male
Middle Aged
Nasal Septum / surgery
Palate / surgery*
Pharynx / surgery*
Sleep Apnea Syndromes / physiopathology,  surgery*
Treatment Outcome
Turbinates / surgery
Uvula / surgery*

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


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