Ravesloot M J L, de Vries N
Department of Otorhinolaryngology, Head and Neck Surgery, St Lucas Andreas Hospital, Amsterdam, The Netherlands.
J Laryngol Otol. 2011 Sep;125(9):982-6. doi: 10.1017/S0022215111001526. Epub 2011 Jul 7.
In the West, removal of the uvula is predominantly undertaken as part of palatal surgery, in cases of obstructive sleep apnoea. In the developing world, such as the Middle East and Africa, uvulectomy is a more common practice. The uvula is removed for curative or preventive purposes, or as part of ritual practice. Due to immigration from developing to developed world countries, and to Western doctors working abroad, such doctors are increasingly being confronted with unfamiliar traditional healing practices, within a medical context.
The Medline and Embase online databases were systematically searched for literature on traditional uvulectomy. We present a review of this literature. We also present the first report, to our best knowledge, of obstructive sleep apnoea as a late complication of traditional uvulectomy.
Traditional uvulectomy may be complicated by post-operative haemorrhage and local infections, among many other problems. We report cases of obstructive sleep apnoea and snoring caused by palatal stenosis resulting from traditional uvulectomy during childhood.
在西方，悬雍垂切除主要是作为阻塞性睡眠呼吸暂停患者腭部手术的一部分。在发展中世界，如中东和非洲，悬雍垂切除术更为常见。切除悬雍垂是为了治疗或预防目的，或作为仪式的一部分。由于从发展中国家向发达国家的移民，以及在国外工作的西方医生，这些医生在医疗环境中越来越多地面临不熟悉的传统治疗方法。
系统检索Medline和Embase在线数据库中关于传统悬雍垂切除术的文献。我们对这些文献进行了综述。据我们所知，我们还首次报告了阻塞性睡眠呼吸暂停作为传统悬雍垂切除术的晚期并发症。
传统悬雍垂切除术可能会出现术后出血和局部感染等许多其他问题。我们报告了儿童期传统悬雍垂切除术后因腭部狭窄导致阻塞性睡眠呼吸暂停和打鼾的病例。
