Li Shuhua, Shi Hongjin
Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, Shenyang, China.
Acta Otolaryngol. 2013 Jul;133(7):749-54. doi: 10.3109/00016489.2013.765968. Epub 2013 Feb 28.
Midline partial glossectomy guided by lingual artery computed tomographic angiography (CTA) demonstrated a satisfactory safety profile and therapeutic effect for patients with obstructive sleep apnea hypopnea syndrome (OSAHS) due to tongue hypertrophy.
To evaluate the efficacy and safety profile of midline partial glossectomy guided by lingual artery CTA for the treatment of OSAHS due to tongue hypertrophy.
Sixty-seven OSAHS patients with a narrowed airway at the hypopharyngeal region due to tongue hypertrophy underwent uvulopalatopharyngoplasty (UPPP) in combination with midline partial glossectomy. The operation zone was determined according to the anatomic measurement obtained from lingual artery CTA and the resected region was much larger than with conventional midline partial glossectomy. Postoperative complications were closely monitored and sleep condition was followed up for more than 6 months and re-evaluated by polysomnography (PSG).
All the operations proceeded uneventfully without any complications, demonstrating a satisfactory safety profile. After a follow-up period of more than 6 months, of the 67 patients undergoing the procedure, 24 were cured and 34 exhibited markedly improved sleep, whereas 9 showed little or no improvement, giving an effectiveness rate of 86.6% for the operation.
舌动脉计算机断层血管造影（CTA）引导下的中线部分舌切除术对因舌肥大导致阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的患者显示出令人满意的安全性和治疗效果。
评估舌动脉CTA引导下的中线部分舌切除术治疗因舌肥大导致的OSAHS的疗效和安全性。
67例因舌肥大导致下咽区气道狭窄的OSAHS患者接受了悬雍垂腭咽成形术（UPPP）联合中线部分舌切除术。根据舌动脉CTA获得的解剖测量结果确定手术区域，切除区域比传统中线部分舌切除术大得多。密切监测术后并发症，并对睡眠状况进行6个月以上的随访，通过多导睡眠图（PSG）进行重新评估。
所有手术均顺利进行，无任何并发症，显示出令人满意的安全性。经过6个月以上的随访，67例接受该手术的患者中，24例治愈，34例睡眠明显改善，而9例改善甚微或无改善，手术有效率为86.6%。
