Herford A S, Finn R
Loma Linda University, Department of Oral and Maxillofacial Surgery, CA, USA.
J Craniomaxillofac Surg. 2000 Aug;28(4):213-6. doi: 10.1054/jcms.2000.0148.
The purpose of this study was to describe a single-stage laser assisted uvuloplasty (uvulectomy) and to determine its effectiveness in treatment of snoring and mild obstructive sleep apnoea (OSA).
All patients treated with laser assisted uvuloplasty in a 49-month period for snoring and/or mild OSA were studied. Frequency of snoring before and after surgery, loudness of snoring and postoperative discomfort were investigated. Patients were asked to evaluate change in daytime energy, sleep habits, missed days of work and also overall satisfaction following laser assisted uvuloplasty.
Thirty patients underwent a single-stage laser assisted uvuloplasty. A preoperative diagnosis of OSA was established in 19 patients, the remaining 11 patients were treated for snoring. There were no complications and only one patient required an additional stage. A questionnaire was completed by 18 patients (10 patients diagnosed with sleep apnoea, and eight patients with snoring only). Preoperatively the frequency of snoring averaged 9.3 cm on a visual analogue scale. Postoperatively there were 12 patients with either none or very minimal snoring and six patients who had an average score of 3.2. Loudness of snoring also decreased from an average of 5.4 to 2.5 cm. Postoperative discomfort averaged 1.1 cm. Improvement in sleep was noted by 16 patients and improved daytime energy was noted by 17 patients. Eleven patients reported that they missed at least one day of work postoperatively with an average of 3 days missed. Patient satisfaction was reported by 17 patients with only one stating that he was unsatisfied with the procedure.
Laser-assisted uvuloplasty (uvulectomy) is an effective surgical procedure for treatment of snoring and some types of OSA. A single-stage procedure appears to be effective and may further decrease the morbidity associated with this disease.
本研究旨在描述单阶段激光辅助悬雍垂成形术（悬雍垂切除术），并确定其治疗打鼾和轻度阻塞性睡眠呼吸暂停（OSA）的有效性。
对在49个月期间接受激光辅助悬雍垂成形术治疗打鼾和/或轻度OSA的所有患者进行研究。调查手术前后打鼾的频率、打鼾的响度以及术后不适情况。要求患者评估激光辅助悬雍垂成形术后白天精力、睡眠习惯、误工天数的变化以及总体满意度。
30例患者接受了单阶段激光辅助悬雍垂成形术。19例患者术前诊断为OSA，其余11例患者因打鼾接受治疗。无并发症发生，仅1例患者需要额外的手术阶段。18例患者（10例诊断为睡眠呼吸暂停，8例仅为打鼾患者）完成了问卷调查。术前，在视觉模拟量表上打鼾频率平均为9.3厘米。术后，12例患者无打鼾或打鼾非常轻微，6例患者平均评分为3.2厘米。打鼾响度也从平均5.4厘米降至2.5厘米。术后不适平均为1.1厘米。16例患者注意到睡眠改善，17例患者注意到白天精力改善。11例患者报告术后至少误工1天，平均误工3天。17例患者报告了患者满意度，只有1例表示对该手术不满意。
激光辅助悬雍垂成形术（悬雍垂切除术）是治疗打鼾和某些类型OSA的有效外科手术。单阶段手术似乎有效，并且可能进一步降低与该疾病相关的发病率。
