Effect of Isolated Uvulopalatopharyngoplasty on Subjective Obstructive Sleep Apnea Symptoms

최지호; 전영준; 김태훈; 이흥만; 이상학; 권순영; 최혁; 이승훈

추천

검색

자료유형: 학술저널

저자정보: 최지호 전영준 김태훈 이흥만 이상학 권순영 최혁 이승훈

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제6권 제3호

발행연도: 2013.1

수록면: 161 - 165 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives. The aims of this study were 1) to evaluate the effect of isolated uvulopalatopharyngoplasty (UPPP) on subjective obstructive sleep apnea (OSA) symptoms in adult patients regardless of the response to surgery, and ultimately 2)to investigate the differences in changes in subjective OSA symptoms between successful and unsuccessful surgery groups. Methods. Twenty consecutive adult patients who underwent isolated UPPP were enrolled. Pre- and postoperative subjective OSA symptoms (snoring, witnessed apnea, daytime sleepiness, morning headache, daytime fatigue, restless sleep,difficulty with morning arousal) and polysomnographic data were evaluated in all subjects. Changes in subjective OSA symptoms before and after surgery were investigated in the successful (n=11) and unsuccessful (n=9) groups. Surgical success was defined as a reduction of at least 50% in the preoperative apnea-hypopnea index (AHI) and a postoperative AHI less than 20 per hour. Results. After isolated UPPP, all subjective OSA symptoms changed significantly in the patients, especially in the successful group. In the unsuccessful group, snoring, witnessed apnea and daytime fatigue changed significantly, while other symptoms did not change significantly after surgery. Conclusion. Isolated UPPP may improve subjective OSA symptoms in adult patients whom surgery was successful or unsuccessful. However, after isolated UPPP, the improvements in subjective OSA symptoms in the unsuccessful group may be different from those in the successful group.

#Adult #Obstructive sleep apnea #Polysomnography #Surgery #Symptom

참고문헌 (20)

참고문헌 신청

American Academy of Sleep Medicine / 2005 / The international classification of sleep disorders: diagnostic and coding manual / American Academy of Sleep Medicine

American Academy of Sleep Medicine / 2007 / The AASM manual for the scoring of sleep and associated events: rules, terminology, and technical specifications / American Academy of Slee

Aurora RN / 2010 / Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults / Sleep 33 (10) : 1408 ~ 1413

Caples SM / 2010 / Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis / Sleep 33 (10) : 1396 ~ 1407

Choi JH / 2011 / Effectiveness of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing in obstructive sleep apnea syndrome with nasal