Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Suresnes, France.
Laryngoscope. 2013 Jun;123(6):1556-9. doi: 10.1002/lary.23800. Epub 2013 Apr 26.
OBJECTIVES/HYPOTHESIS: To determine whether snoring sound intensity measured after a first soft palate radiofrequency (RF) session for simple snoring helps predict the final result of the treatment.
Observational retrospective study.
We conducted a retrospective review of 105 subjects presenting with simple snoring or mild sleep apnea. All patients underwent two to three sessions of RF-assisted stiffening of the soft palate. In addition, uvulectomy was performed in case of a long uvula, and two paramedian trenches were created in the presence of palatal webbing. Snoring sound intensity was evaluated by the bed partner after each session.
Eighty-six men and 19 women were included in the study. Mean age was 51.7 ± 9.8 years, and mean body mass index was 24.7 ± 4.4 kg/m(2) . The mean apnea/hypopnea index was 6.6 ± 4.2/h. The mean snoring sound intensity, as evaluated on a 10-cm visual analog scale (VAS), decreased from 8.2 ± 1.5 to 3.5 ± 2.2 after all sessions (P < .0001). A score of 3 was determined as being a score that satisfied the bed partner. Two groups were formed according to the final snoring sound intensity, using 3 as a threshold. Both groups had similar preoperative characteristics, but the snoring sound intensity was significantly lower after the first session in the group with final score <3 (P = .01). Similarly, a VAS score >7 after the first session was associated with a final score <3 in 30% of the cases.
Snoring sound intensity after the first RF session helps predict the final outcome of RF-assisted stiffening of the soft palate for simple snoring.
目的/假设：确定首次软腭射频 (RF) 治疗后测量的打鼾声强度是否有助于预测治疗的最终结果。
观察性回顾性研究。
我们对 105 例单纯性打鼾或轻度睡眠呼吸暂停患者进行了回顾性研究。所有患者均接受了 2 至 3 次 RF 辅助硬腭治疗。此外，如果悬雍垂较长，则进行悬雍垂切除术，如果存在腭带，则创建两个正中沟。在每次治疗后，由床伴评估打鼾声强度。
研究纳入 86 名男性和 19 名女性。平均年龄为 51.7 ± 9.8 岁，平均体重指数为 24.7 ± 4.4 kg/m²。平均呼吸暂停/低通气指数为 6.6 ± 4.2/h。使用 10 厘米视觉模拟量表 (VAS) 评估的平均打鼾声强度从 8.2 ± 1.5 降至所有治疗后的 3.5 ± 2.2（P<0.0001）。3 分被确定为满足床伴的分数。根据最终打鼾声强度将两组分为 3 分作为阈值。两组的术前特征相似，但首次治疗后最终评分<3 的组的打鼾声强度显著降低（P=0.01）。同样，首次治疗后 VAS 评分>7 与 30%的最终评分<3 相关。
首次 RF 治疗后打鼾声强度有助于预测 RF 辅助硬腭治疗单纯性打鼾的最终结果。
