Efficacy of single-staged modified uvulopalatopharyngoplasty with nasal surgery in adults with obstructive sleep apnea syndrome

Ji Ho Choi, Eun Joong Kim, Woo Sung Cho, Yang Soo Kim, June Choi, Soon Young Kwon, Tae-Hoon Kim, Heung Man Lee, Sang Hag Lee, Seung Hoon Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective. The aim of this study was to investigate the clinical efficacy of single-staged modified uvulopalatopharyngoplasty (UPPP) with nasal surgery and the relationship between its surgical outcomes and an anatomy-based staging system in patients with obstructive sleep apnea syndrome (OSAS) with nasal obstruction. Study Design and Setting. Before-after analysis at a university hospital. Subjects and Methods. A total of 41 consecutive OSAS patients (mean age 40.1 ± 7.3 years) who underwent single-staged modified (uvula-preserving) UPPP with nasal surgery were included. The investigators compared subjective symptoms and polysomnographic data before and after surgery and investigated objective surgical outcomes according to the anatomy-based (Friedman) staging system and postoperative complications. Surgical success was defined as a reduction of at least 50% in preoperative apnea-hypopnea index (AHI) and a postoperative AHI of less than 20 per hour. Results. After simultaneous nasal-oropharyngeal surgery, the AHI significantly decreased (from 45.9 ± 23.4 to 20.9 ± 22.1 events per hour; P < .001) and the overall success rate was 56.1% (23/41). Surgical success rates in stages I, II, and III were 70.6% (12/17), 60.0% (9/15), and 22.2% (2/9), respectively. There were no major complications during or after surgery, and most minor complications were transient and resolved without morbidity. Conclusions. Single-staged modified UPPP with nasal surgery is an available and relatively safe surgical approach in OSAS patients with nasal obstruction. To achieve the best possible surgical outcomes, it is important to select appropriate patients using the anatomy-based staging system.

Original languageEnglish
Pages (from-to)994-999
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume144
Issue number6
DOIs
Publication statusPublished - 2011 Jun 1

Fingerprint

Nasal Surgical Procedures
Obstructive Sleep Apnea
Apnea
Anatomy
Nasal Obstruction
Uvula
Minor Surgical Procedures
Research Personnel
Morbidity

Keywords

  • Adul
  • Apnea
  • Obstructive sleep apnea syndrome
  • Polysomnography
  • Surgery

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Medicine(all)

Cite this

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title = "Efficacy of single-staged modified uvulopalatopharyngoplasty with nasal surgery in adults with obstructive sleep apnea syndrome",
abstract = "Objective. The aim of this study was to investigate the clinical efficacy of single-staged modified uvulopalatopharyngoplasty (UPPP) with nasal surgery and the relationship between its surgical outcomes and an anatomy-based staging system in patients with obstructive sleep apnea syndrome (OSAS) with nasal obstruction. Study Design and Setting. Before-after analysis at a university hospital. Subjects and Methods. A total of 41 consecutive OSAS patients (mean age 40.1 ± 7.3 years) who underwent single-staged modified (uvula-preserving) UPPP with nasal surgery were included. The investigators compared subjective symptoms and polysomnographic data before and after surgery and investigated objective surgical outcomes according to the anatomy-based (Friedman) staging system and postoperative complications. Surgical success was defined as a reduction of at least 50{\%} in preoperative apnea-hypopnea index (AHI) and a postoperative AHI of less than 20 per hour. Results. After simultaneous nasal-oropharyngeal surgery, the AHI significantly decreased (from 45.9 ± 23.4 to 20.9 ± 22.1 events per hour; P < .001) and the overall success rate was 56.1{\%} (23/41). Surgical success rates in stages I, II, and III were 70.6{\%} (12/17), 60.0{\%} (9/15), and 22.2{\%} (2/9), respectively. There were no major complications during or after surgery, and most minor complications were transient and resolved without morbidity. Conclusions. Single-staged modified UPPP with nasal surgery is an available and relatively safe surgical approach in OSAS patients with nasal obstruction. To achieve the best possible surgical outcomes, it is important to select appropriate patients using the anatomy-based staging system.",
keywords = "Adul, Apnea, Obstructive sleep apnea syndrome, Polysomnography, Surgery",
author = "Choi, {Ji Ho} and Kim, {Eun Joong} and Cho, {Woo Sung} and Kim, {Yang Soo} and June Choi and Kwon, {Soon Young} and Tae-Hoon Kim and Lee, {Heung Man} and Lee, {Sang Hag} and Lee, {Seung Hoon}",
year = "2011",
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doi = "10.1177/0194599811398194",
language = "English",
volume = "144",
pages = "994--999",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
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T1 - Efficacy of single-staged modified uvulopalatopharyngoplasty with nasal surgery in adults with obstructive sleep apnea syndrome

AU - Choi, Ji Ho

AU - Kim, Eun Joong

AU - Cho, Woo Sung

AU - Kim, Yang Soo

AU - Choi, June

AU - Kwon, Soon Young

AU - Kim, Tae-Hoon

AU - Lee, Heung Man

AU - Lee, Sang Hag

AU - Lee, Seung Hoon

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Objective. The aim of this study was to investigate the clinical efficacy of single-staged modified uvulopalatopharyngoplasty (UPPP) with nasal surgery and the relationship between its surgical outcomes and an anatomy-based staging system in patients with obstructive sleep apnea syndrome (OSAS) with nasal obstruction. Study Design and Setting. Before-after analysis at a university hospital. Subjects and Methods. A total of 41 consecutive OSAS patients (mean age 40.1 ± 7.3 years) who underwent single-staged modified (uvula-preserving) UPPP with nasal surgery were included. The investigators compared subjective symptoms and polysomnographic data before and after surgery and investigated objective surgical outcomes according to the anatomy-based (Friedman) staging system and postoperative complications. Surgical success was defined as a reduction of at least 50% in preoperative apnea-hypopnea index (AHI) and a postoperative AHI of less than 20 per hour. Results. After simultaneous nasal-oropharyngeal surgery, the AHI significantly decreased (from 45.9 ± 23.4 to 20.9 ± 22.1 events per hour; P < .001) and the overall success rate was 56.1% (23/41). Surgical success rates in stages I, II, and III were 70.6% (12/17), 60.0% (9/15), and 22.2% (2/9), respectively. There were no major complications during or after surgery, and most minor complications were transient and resolved without morbidity. Conclusions. Single-staged modified UPPP with nasal surgery is an available and relatively safe surgical approach in OSAS patients with nasal obstruction. To achieve the best possible surgical outcomes, it is important to select appropriate patients using the anatomy-based staging system.

AB - Objective. The aim of this study was to investigate the clinical efficacy of single-staged modified uvulopalatopharyngoplasty (UPPP) with nasal surgery and the relationship between its surgical outcomes and an anatomy-based staging system in patients with obstructive sleep apnea syndrome (OSAS) with nasal obstruction. Study Design and Setting. Before-after analysis at a university hospital. Subjects and Methods. A total of 41 consecutive OSAS patients (mean age 40.1 ± 7.3 years) who underwent single-staged modified (uvula-preserving) UPPP with nasal surgery were included. The investigators compared subjective symptoms and polysomnographic data before and after surgery and investigated objective surgical outcomes according to the anatomy-based (Friedman) staging system and postoperative complications. Surgical success was defined as a reduction of at least 50% in preoperative apnea-hypopnea index (AHI) and a postoperative AHI of less than 20 per hour. Results. After simultaneous nasal-oropharyngeal surgery, the AHI significantly decreased (from 45.9 ± 23.4 to 20.9 ± 22.1 events per hour; P < .001) and the overall success rate was 56.1% (23/41). Surgical success rates in stages I, II, and III were 70.6% (12/17), 60.0% (9/15), and 22.2% (2/9), respectively. There were no major complications during or after surgery, and most minor complications were transient and resolved without morbidity. Conclusions. Single-staged modified UPPP with nasal surgery is an available and relatively safe surgical approach in OSAS patients with nasal obstruction. To achieve the best possible surgical outcomes, it is important to select appropriate patients using the anatomy-based staging system.

KW - Adul

KW - Apnea

KW - Obstructive sleep apnea syndrome

KW - Polysomnography

KW - Surgery

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