Abstract
Objectives. The aims of this study were 1) to evaluate the effect of isolated uvulopalatopharyngoplasty (UPPP) on subjective obstructive sleep apnea (OSA) symptoms in adult patients regardless of the response to surgery, and ultimately 2) to investigate the differences in changes in subjective OSA symptoms between successful and unsuccessful surgery groups. Methods. Twenty consecutive adult patients who underwent isolated UPPP were enrolled. Pre- and postoperative subjective OSA symptoms (snoring, witnessed apnea, daytime sleepiness, morning headache, daytime fatigue, restless sleep, difficulty with morning arousal) and polysomnographic data were evaluated in all subjects. Changes in subjective OSA symptoms before and after surgery were investigated in the successful (n =11) and unsuccessful (n =9) groups. Surgical success was defined as a reduction of at least 50% in the preoperative apnea-hypopnea index (AHI) and a postoperative AHI less than 20 per hour. Results. After isolated UPPP, all subjective OSA symptoms changed significantly in the patients, especially in the successful group. In the unsuccessful group, snoring, witnessed apnea and daytime fatigue changed significantly, while other symptoms did not change significantly after surgery. Conclusion. Isolated UPPP may improve subjective OSA symptoms in adult patients whom surgery was successful or unsuccessful. However, after isolated UPPP, the improvements in subjective OSA symptoms in the unsuccessful group may be different from those in the successful group.
| Original language | English |
|---|---|
| Pages (from-to) | 161-165 |
| Number of pages | 5 |
| Journal | Clinical and Experimental Otorhinolaryngology |
| Volume | 6 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2013 Sep 1 |
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Keywords
- Adult
- Obstructive sleep apnea
- Polysomnography
- Surgery
- Symptom
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Effect of isolated uvulopalatopharyngoplasty on subjective obstructive sleep apnea symptoms. / Choi, Ji Ho; Jun, Young Joon; Kim, Tae-Hoon; Lee, Heung Man; Lee, Sang Hag; Kwon, Soon Young; Choi, Hyuk; Lee, Seung Hoon.
In: Clinical and Experimental Otorhinolaryngology, Vol. 6, No. 3, 01.09.2013, p. 161-165.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of isolated uvulopalatopharyngoplasty on subjective obstructive sleep apnea symptoms
AU - Choi, Ji Ho
AU - Jun, Young Joon
AU - Kim, Tae-Hoon
AU - Lee, Heung Man
AU - Lee, Sang Hag
AU - Kwon, Soon Young
AU - Choi, Hyuk
AU - Lee, Seung Hoon
PY - 2013/9/1
Y1 - 2013/9/1
N2 - Objectives. The aims of this study were 1) to evaluate the effect of isolated uvulopalatopharyngoplasty (UPPP) on subjective obstructive sleep apnea (OSA) symptoms in adult patients regardless of the response to surgery, and ultimately 2) to investigate the differences in changes in subjective OSA symptoms between successful and unsuccessful surgery groups. Methods. Twenty consecutive adult patients who underwent isolated UPPP were enrolled. Pre- and postoperative subjective OSA symptoms (snoring, witnessed apnea, daytime sleepiness, morning headache, daytime fatigue, restless sleep, difficulty with morning arousal) and polysomnographic data were evaluated in all subjects. Changes in subjective OSA symptoms before and after surgery were investigated in the successful (n =11) and unsuccessful (n =9) groups. Surgical success was defined as a reduction of at least 50% in the preoperative apnea-hypopnea index (AHI) and a postoperative AHI less than 20 per hour. Results. After isolated UPPP, all subjective OSA symptoms changed significantly in the patients, especially in the successful group. In the unsuccessful group, snoring, witnessed apnea and daytime fatigue changed significantly, while other symptoms did not change significantly after surgery. Conclusion. Isolated UPPP may improve subjective OSA symptoms in adult patients whom surgery was successful or unsuccessful. However, after isolated UPPP, the improvements in subjective OSA symptoms in the unsuccessful group may be different from those in the successful group.
AB - Objectives. The aims of this study were 1) to evaluate the effect of isolated uvulopalatopharyngoplasty (UPPP) on subjective obstructive sleep apnea (OSA) symptoms in adult patients regardless of the response to surgery, and ultimately 2) to investigate the differences in changes in subjective OSA symptoms between successful and unsuccessful surgery groups. Methods. Twenty consecutive adult patients who underwent isolated UPPP were enrolled. Pre- and postoperative subjective OSA symptoms (snoring, witnessed apnea, daytime sleepiness, morning headache, daytime fatigue, restless sleep, difficulty with morning arousal) and polysomnographic data were evaluated in all subjects. Changes in subjective OSA symptoms before and after surgery were investigated in the successful (n =11) and unsuccessful (n =9) groups. Surgical success was defined as a reduction of at least 50% in the preoperative apnea-hypopnea index (AHI) and a postoperative AHI less than 20 per hour. Results. After isolated UPPP, all subjective OSA symptoms changed significantly in the patients, especially in the successful group. In the unsuccessful group, snoring, witnessed apnea and daytime fatigue changed significantly, while other symptoms did not change significantly after surgery. Conclusion. Isolated UPPP may improve subjective OSA symptoms in adult patients whom surgery was successful or unsuccessful. However, after isolated UPPP, the improvements in subjective OSA symptoms in the unsuccessful group may be different from those in the successful group.
KW - Adult
KW - Obstructive sleep apnea
KW - Polysomnography
KW - Surgery
KW - Symptom
UR - http://www.scopus.com/inward/record.url?scp=84884585840&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884585840&partnerID=8YFLogxK
U2 - 10.3342/ceo.2013.6.3.161
DO - 10.3342/ceo.2013.6.3.161
M3 - Article
VL - 6
SP - 161
EP - 165
JO - Clinical and Experimental Otorhinolaryngology
JF - Clinical and Experimental Otorhinolaryngology
SN - 1976-8710
IS - 3
ER -