STUDY OBJECTIVES: To investigate the surgical outcomes and efficacy of modified uvulopalatopharyngoplasty (mod UPPP) and Coblation channelling of the tongue (CCT) as a treatment for obstructive sleep apnea (OSA). METHODS: Adult patients with simple snoring or obstructive sleep apnea were treated with combined modified UPPP, bilateral tonsillectomy, and CCT (N = 48). Full polysomnography was performed preoperatively and 3 months postoperatively. Postoperative clinical assessment, sleep questionnaires, and patient demographics including body mass index were compared to preoperative data. All polysomnograms were re-scored to AASM recommended criteria by 2 sleep professionals. RESULTS: The preoperative AHI (median and interquartile range) of 23.1 (10.4 to 36.6) was lowered to a postoperative AHI of 5.6 (1.9 to 10.4) (p < 0.05). The Epworth Sleepiness Scale score fell from 10.5 (5.5 to 13.5) to 5.0 (3.09 to 9.5) (p < 0.05). Morbidity of the surgery was low, with no long-term complications recorded. CONCLUSIONS: Modified UPPP combined with CCT is a highly efficacious intervention for OSA with minimal morbidity. It should be considered for individuals who fail or are intolerant of CPAP or other medical devices.
STUDY OBJECTIVES: To investigate the surgical outcomes and efficacy of modified uvulopalatopharyngoplasty (mod UPPP) and Coblation channelling of the tongue (CCT) as a treatment for obstructive sleep apnea (OSA). METHODS: Adult patients with simple snoring or obstructive sleep apnea were treated with combined modified UPPP, bilateral tonsillectomy, and CCT (N = 48). Full polysomnography was performed preoperatively and 3 months postoperatively. Postoperative clinical assessment, sleep questionnaires, and patient demographics including body mass index were compared to preoperative data. All polysomnograms were re-scored to AASM recommended criteria by 2 sleep professionals. RESULTS: The preoperative AHI (median and interquartile range) of 23.1 (10.4 to 36.6) was lowered to a postoperative AHI of 5.6 (1.9 to 10.4) (p < 0.05). The Epworth Sleepiness Scale score fell from 10.5 (5.5 to 13.5) to 5.0 (3.09 to 9.5) (p < 0.05). Morbidity of the surgery was low, with no long-term complications recorded. CONCLUSIONS: Modified UPPP combined with CCT is a highly efficacious intervention for OSA with minimal morbidity. It should be considered for individuals who fail or are intolerant of CPAP or other medical devices.
Authors: Clarice J Field; Sam Robinson; Stuart Mackay; James D Harrison; Nathaniel S Marshall Journal: Otolaryngol Head Neck Surg Date: 2011-04-26 Impact factor: 3.497
Authors: Nick A Antic; Peter Catcheside; Catherine Buchan; Michael Hensley; Matthew T Naughton; Sharn Rowland; Bernadette Williamson; Samantha Windler; R Doug McEvoy Journal: Sleep Date: 2011-01-01 Impact factor: 5.849
Authors: Qingfeng Zhang; Wei Song; Cuiping She; Delong Liu; Dawei Li; Xinran Zhang; Chenjing Cheng Journal: Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi Date: 2012-02
Authors: Sean M Caples; James A Rowley; Jeffrey R Prinsell; John F Pallanch; Mohamed B Elamin; Sheri G Katz; John D Harwick Journal: Sleep Date: 2010-10 Impact factor: 5.849
Authors: Stuart MacKay; A Simon Carney; Peter G Catcheside; Ching Li Chai-Coetzer; Michael Chia; Peter A Cistulli; John-Charles Hodge; Andrew Jones; Billingsley Kaambwa; Richard Lewis; Eng H Ooi; Alison J Pinczel; Nigel McArdle; Guy Rees; Bhajan Singh; Nicholas Stow; Edward M Weaver; Richard J Woodman; Charmaine M Woods; Aeneas Yeo; R Doug McEvoy Journal: JAMA Date: 2020-09-22 Impact factor: 56.272
Authors: Sarah Ulrike Leitzbach; Robert Bodlaj; Joachim Theodor Maurer; Karl Hörmann; Boris Alexander Stuck Journal: Eur Arch Otorhinolaryngol Date: 2014-01-08 Impact factor: 2.503
Authors: Anders William Sideris; Gordon Wallace; Matthew Eugene Lam; Leon Kitipornchai; Richard Lewis; Andrew Jones; Ali Jeiranikhameneh; Stephen Beirne; Lachlan Hingley; Stuart Mackay Journal: J Clin Sleep Med Date: 2021-02-01 Impact factor: 4.062
Authors: David Kent; Jeffrey Stanley; R Nisha Aurora; Corinna G Levine; Daniel J Gottlieb; Matthew D Spann; Carlos A Torre; Katherine Green; Christopher G Harrod Journal: J Clin Sleep Med Date: 2021-12-01 Impact factor: 4.062