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Á¢¼ö¹øÈ£ - 890032 RHOP-52 |
The Effect of Uvulopalatopharyngoplasty with Tonsillectomy in
Patients with Obstructive Sleep Apnea |
Dept. of Otorhinolaryngology research center,Dept. of Otolaryngology Head&Neck Surgery,Shahid Sadoughi Univ. of Medical Sciences,Yazd,Iran1,Dept. Otolaryngology Head&Neck Surgery,ILAM Univ. of Medical Sciences,ILAM,Iran2,Dept. of Otolaryngology Head & Neck surgery, shiraz Univ. of Medical Sciences, shiraz, Iran.3 |
Mohammad Hossein DADGARNIA,
Mohammad Hossein BARADARANFAR1,Mohsen EDALATKHAH1,Mohammad Hossein DADGARNIA1,Saeid ATIGHECHI1,Mohammad reza VAHIDI1,Abbas MIRVAKILI1,Ali MORADI1,Safarali AMIRI ANDI2,Mohammad FARAMARZI3
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¸ñÀû: In the current study, we evaluated the effectiveness of
uvulopalatopharyngoplasty (UPPP) in treatment of patients with
obstructive sleep apnea (OSA) syndrome. All patients were
previously
received medical treatment but their symptoms did not resolve. ¹æ¹ý:A prospective study was conducted in Shahid Sadoughi Hospital in
Yazd,
Iran. Several sleep indices were evaluated using polysomnography
(PSG)
in all patients before performing UPPP and tonsillectomy. All
patients
were visited 6 months after surgery and PSG was repeated to
assess the
efficacy of surgical intervention °á°ú:A total of 48 patients were enrolled and underwent UPPP and
tonsillectomy. Six months after surgery, significant improvements were
observed in all indices of sleep (apneahypopnea index, respiratory
distress index, arterial oxygen saturation, and snoring index). The
score of daytime sleepiness (assessed by Epworth score) was also
improved. °á·Ð:According to the result of this study, using UPPP surgery in
patients
with OSA can cause symptoms improvement in 64 % of cases. It
seems
that Mullers maneuver test has assisted in briefly increasing
success
rate after surgery, though to prove this claim other studies
should
be designed and performed in a randomized clinical trial |
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