폐쇄성 수면무호흡증 환자에서 구개수구개피판술과 구개근절제술의 수술 결과에 대한 비교 분석

이현민; 최성원; 강대운; 이정훈; 노환중; 조규섭

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자료유형: 학술저널

저자정보: 이현민 최성원 강대운 이정훈 노환중 조규섭

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제7호

발행연도: 2011.1

수록면: 467 - 472 (6page)

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Background and Objectives The purpose of this study was to compare the surgical outcomes of uvulopalatal flap (UPF) and palatal muscle resection (PMR) techniques in the treatment of obstructive sleep apnea (OSA). Subjects and Method Forty-three consecutive patients (40 men and 3 women) with OSA were included. Only patients with Fujita type I obstruction were enrolled in this study. Patients with macroglossia or retrognathia were excluded from the study. Twenty patients underwent a UPF and twenty-three patients underwent a PMR. In both groups, nasal surgery was performed if necessary. Questionnaires based on Visual Analogue Scale (VAS) about sno-ring, apnea, morning headache, tiredness, daytime sleepiness and Epworth Sleepiness Scale (ESS) were analyzed before and after each surgical treatment. Preoperative and postoperative polysomnography (PSG) were completed by every patient. Results In UPF group, every aspect of VAS except morning headache was significantly improved after surgery. In PMR group, every aspect of VAS and ESS were significantly improved after surgery. Comparing the surgical outcomes between two groups, every VAS and ESS showed much better result in PMR than UPF group. In both UPF and PMR group, the mean apnea-hypopnea index decreased significantly after surgery. However, there’s no significant difference between two groups in the PSG findings. Conclusion PMR could be a better surgical technique than UPF with respect to subjective outcome although both UPF and PMR are effective surgical techniques for the treatment of OSA with Fujita type I obstruction.

#Obstructive sleep apnea ㆍSoft palate ㆍOperative surgical procedures.

참고문헌 (14)

참고문헌 신청

Balcerzak J / 2006 / [What should we know about uvula doing uvulopalatoplasty] / Otolaryngol Pol 60 (6) : 879 ~ 882

Friedman M / 2002 / Clinical staging for sleep-disordered breathing / Otolaryngol Head Neck Surg 127 (1) : 13 ~ 21

Fujita S / 1981 / Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome:uvulopalatopharyngoplasty / Otolaryngol Head Neck Surg 89 (6) : 923 ~ 934

Li HY / 2003 / Modified uvulopalatopharyngoplasty:The extended uvulopalatal flap / Am J Otolaryngol 24 (5) : 311 ~ 316

Lysdahl M / 2002 / Uvulopalatopharyngoplasty versus laser uvulopalatoplasty:prospective long-term follow-up of self-reported symptoms / Acta Otolaryngol 122 (7) : 752 ~ 757

이 논문의 저자 정보

이현민

소속기관 Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan, Korea