Chouard C H, Meyer B, Chabolle F, Fleury B
Service ORL, Hôpital Saint-Antoine, Paris.
Ann Otolaryngol Chir Cervicofac. 1990;107(3):154-8.
Uvulopalatoplasty was performed (whether or not associated with tonsillectomy and/or septoplasty) in 1,222 cases of chronic rhonchopathy. Among them, 65 cases consisted of pre- and postoperatively registered sleep apnea syndrome. Clinical results were assessed on improvement of preoperative snoring, apneas, morning asthenia, daily sleepiness. Surgery was totally successful in 50% of cases, partially in 35%. Failure was encountered in 15% of cases. Failure or partial improvement are related to the preoperative presence of one or several of five particular risk factors: neck shortness, tongue hypertrophia, retrognathia, obesity and nasal pathology. Surgical complications were rare. Severe rhinolalia occurred in five cases: only three of them were sufficiently to accept plastic reconstruction which was successful.
对1222例慢性鼾症患者实施了悬雍垂腭成形术（无论是否合并扁桃体切除术和/或鼻中隔成形术）。其中，65例患者术前和术后均诊断为睡眠呼吸暂停综合征。根据术前打鼾、呼吸暂停、晨起乏力和日间嗜睡的改善情况评估临床疗效。手术完全成功的病例占50%，部分成功的占35%。15%的病例手术失败。手术失败或部分改善与术前存在以下五个特定风险因素中的一个或多个有关：颈部短粗、舌肥大、下颌后缩、肥胖和鼻腔病变。手术并发症很少见。5例出现严重鼻音：其中只有3例足以接受整形修复且获得成功。
