Publication:
Uvulopalatal flap for obstructive sleep apnea: Short-term and long-term results

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Issued Date

2011

Resource Type

Article

File Type

application/pdf

ISSN

0023852X

DOI

10.1002/lary.21157

Other identifier(s)

2-s2.0-79951907987

Rights Holder(s)

Scopus

Bibliographic Citation

Laryngoscope. Vol 121, No.3 (2011), p.683-687

Suggested Citation

Neruntarat C. Uvulopalatal flap for obstructive sleep apnea: Short-term and long-term results. Laryngoscope. Vol 121, No.3 (2011), p.683-687. doi:10.1002/lary.21157 Retrieved from: https://hdl.handle.net/20.500.14740/7369

Title

Uvulopalatal flap for obstructive sleep apnea: Short-term and long-term results

Author(s)

Neruntarat C.

Abstract

Objective: To study long-term results in patients undergoing uvulopalatal flap (UPF) for obstructive sleep apnea (OSA). Design: Prospective, clinical trial at tertiary referral center. Material and Methods: A study was undertaken on 83 OSA patients with palatal obstruction based on radiography and physical findings. UPF was conducted to increase the airway space and data were analyzed. Results: Patients had a mean age of 36.5 ± 12.3 years and a mean body mass index (BMI) of 29.4 ± 4.3 kg/m2. The mean follow-up was 54.2 ± 8.9 months, with a range of 48 to 62 months. The mean baseline apnea-hypopnea index (AHI), short-term AHI, and long-term AHI were 45.6 ± 10.3, 13.4 ± 5.2, and 19.4 ± 5.1, respectively. The mean baseline lowest oxygen saturation (LSAT), short-term LSAT, and long-term LSAT were 82.6 ± 5.4%, 89.2 ± 4.8%, and 88.1 ± 3.2%, respectively. Forty-three patients (51.8%) had long-term success, and 15 patients(25.8%) had an increase in the AHI over the follow-up period such that they were no longer considered success by traditional AHI criteria. Serious complications were not encountered. Conclusions: UPF is a safe and effective procedure that results in long-term success for OSA. However, a regular follow-up is important because some patients will relapse in the long term. © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.

Subject(s)

Adult
 Apnea hypopnea index
 Article
 Blood oxygen tension
 Body mass
 Data analysis
 Female
 Follow up
 Human
 Major clinical study
 Male
 Outcome assessment
 Physical examination
 Priority journal
 Prospective study
 Radiography
 Sleep apnea syndrome
 Tertiary health care
 Uvulopalatopharyngoplasty
 Adult
 Cephalometry
 Female
 Follow-Up Studies
 Humans
 Male
 Middle Aged
 Oxygen
 Palate, Soft
 Prospective Studies
 Sleep Apnea, Obstructive
 Uvula

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https://hdl.handle.net/20.500.14740/7369

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Scopus: Year 1983-2021

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