Mohanty Sanjeev, Gopinath M, Subramanian Mukundan, Sudhir Archana
Department of ENT, Head & Neck Surgery, Sri Ramachandra University, Porur, Chennai, India.
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):52-9. doi: 10.1007/s12070-011-0292-9. Epub 2011 Aug 28.
The objective of this study is to assess the efficacy of laser assisted uvulopalatopharyngoplasty in the treatment of Obstructive Sleep Apnoea Syndrome. This study was conducted over a period of 2 years and comprised of a total of 18 patients of both sexes, from a pool of 64 patients who presented with clinical features of OSAS. All the surgeries were done by the same surgeon and standardised criteria for diagnosis was followed. Only those Patients who were diagnosed to have moderate to severe OSAS of the obstructive type with single level retro palatal obstruction were treated surgically with LAUP, and followed up for a period of 6 months. Of the 18 patients 16 reported of improvement in quality of life, as assessed by Functional Outcomes of Sleep Questionnaire (FOSQ), accounting for 88.8%. The results support the surgical treatment for OSAS of moderate to severe single level retro palatal type, as evidenced by the FOSQ scoring. LAUP is a very good surgical option in alleviating the symptoms of moderate to severe single level retro palatal OSAS.
本研究的目的是评估激光辅助悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的疗效。本研究历时2年，共纳入64例有阻塞性睡眠呼吸暂停综合征临床特征的患者，其中18例患者（男女均有）参与研究。所有手术均由同一位外科医生完成，并遵循标准化的诊断标准。只有那些被诊断为中度至重度阻塞型阻塞性睡眠呼吸暂停综合征且为单平面腭后阻塞的患者接受了激光辅助悬雍垂腭咽成形术的手术治疗，并进行了6个月的随访。在这18例患者中，根据睡眠功能结局问卷（FOSQ）评估，16例报告生活质量有所改善，占88.8%。FOSQ评分证明，研究结果支持对中度至重度单平面腭后型阻塞性睡眠呼吸暂停综合征进行手术治疗。激光辅助悬雍垂腭咽成形术是缓解中度至重度单平面腭后阻塞性睡眠呼吸暂停综合征症状的一种非常好的手术选择。
