睡眠呼吸障害に対する膜型後口蓋弓切除の効果

概要

論文の詳細を見る
Objectives: Uvulo-palato-pharyngo-plasty (UPPP) is one of the standard surgeries for sleep breathing disorders. We report a new technique with limited resection compared with UPPP. This technique is indicated for habituated snoring or mild to moderate degree obstructive sleep apnea hypopnea syndrome (OSAHS). Method: Posterior tonsillar pillar is removed under local anesthesia if its extention obstructs mesopharyngeal space. Uvela is removed depending on the length. Patients: Surgery was done to a total of 12 well selected patients with habituated snoring or obstructive sleep apnea hypopnea syndrome of mild to moderate degree. Result: Improvement was observed in the 10 patients who complained snoring and 2 patients who had somnolence. Discussion: Surgical approach is well established in treating OSAHS. However, surgical technique is limited in treating habitual snoring. Hypertrophy of posterior tonsillar pillar might cause habitual snoring or OSAHS. Our technique is effective for the well selected patients.
愛知医科大学の論文
2005-06-10