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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(7): 1161-7. |
The Effect of Laser Assisted Uvulopalatoplasty in Sleep Apnea Syndrome |
Chang-Kyu Kim, MD, Ju-Hyun Eum, MD, Keehyun Park, MD, Young-Myoung Chun, MD, Joong-Wha Koh, MD, and Sang-Joon Shin, MD |
Department of Otorhinolaryngology, Ajou University School of Medicine, Suwon, Korea |
수면무호흡증환자에서의 레이저구개인두성형술의 효과 |
김창규 · 엄주현 · 박기현 · 전영명 · 고중화 · 신상준 |
아주대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Loud habitual snoring, the most consistent symptom in sleep apnea syndrome, is a socially disruptive noise and it result in potentially serious medical condition associated with systemic and pulmonary hypertension, cardiac dysrythmias, and increased morbidity and mortality. Laser assisted uvulopalatoplasty(LAUP) is a new and effective surgical method for the treatment of habitual loud snoring. LAUP may also be efficacious in the management of obstuctive sleep apnea syndrome. So, LAUP acutally may be preferable to uvulopalatopharyngoplasty(UPPP), because LAUP has some advantages of an outpatient based operation with local anesthesia and little complications. LAUP was performed in 27 consecutive prospectively evaluated patients with obstructive sleep apnea syndrome(OSAS) based on preoperative polysomnography. The effectiveness of the operation can be evaluated by improvement of symptoms and changes of variable parameters of polysomnography. The improvement of snoring was obtained in 85.2%. In relation to the symptoms of daytime somnolence and nocturnal restlessness, 72.2% and 78.6% showed improvement. 48.1% showed improvement in the apnea index below 50% of the preoperative level. 44.4% showed improvement in respiratory disturbance index. Although there was a significant difference between the objective and subjective results of the operation, the results of this study suggest that LAUP may be efficacious in the management of snoring and sleep apnea.
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Keywords:
Habitual snoringㆍLaser-assisted uvulopalatoplastyㆍObstructive sleep apnea. |
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