Cekin Engin, Cincik Hakan, Ulubil Safter Arif, Erkul Bulent Evren, Gungor Atila
GATA (Gulhane Military Medical Academy), Haydarpasa Training Hospital, Department of Otolaryngology, Tibbiye Caddesi, Kadiköy 34668, Istanbul, Turkey.
Mil Med. 2009 Apr;174(4):432-6. doi: 10.7205/milmed-d-02-0708.
To compare the surgical results of uvulopalatopharyngoplasty (UPPP) and uvulopalatal flap (UPF) procedures in the treatment of primary snoring.
Two study groups were formed and UPPP and UPF procedures were performed. All patients were stratified according to the modified Friedman staging system. Patients with tonsil size 2-4, palatal position scale grade 2, and body mass index lower than 30 were enrolled in the study. The success of surgical procedures was evaluated by applying a snoring questionnaire and Epworth sleepiness scale preoperatively and 90 days after the operation. Patients were followed for postoperative pain and other complications.
Snoring was relieved in 85% of UPPP and in 83.3% of UPF patients 90 days after the operation. Postoperative pain complaint was more prominent in the UPPP group and mean duration of pain was significantly longer compared with the UPF group.
Despite similar success rates in the short-term, we can say that the UPF procedure is more practical and comfortable when compared to the UPPP in the military setting.
比较悬雍垂腭咽成形术（UPPP）和悬雍垂腭瓣（UPF）手术治疗原发性打鼾的效果。
组建两个研究组并分别进行UPPP和UPF手术。所有患者均根据改良Friedman分期系统进行分层。纳入扁桃体大小为2 - 4级、腭部位置量表评分为2级且体重指数低于30的患者进行研究。通过术前及术后90天应用打鼾问卷和Epworth嗜睡量表评估手术成功率。对患者进行术后疼痛及其他并发症的随访。
术后90天，85%的UPPP患者和83.3%的UPF患者打鼾症状得到缓解。UPPP组术后疼痛主诉更突出，与UPF组相比，疼痛平均持续时间显著更长。
尽管短期内成功率相似，但在军事环境中，与UPPP相比，我们可以说UPF手术更实用、更舒适。
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