Kwon Jang-Woo, Kong Tae-Hoon, Ha Tae-Hyoung, Park Dong-Joon
Department of Otolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, Gangwon, 220-701, Republic of Korea.
Eur Arch Otorhinolaryngol. 2016 May;273(5):1173-8. doi: 10.1007/s00405-015-3722-6. Epub 2015 Jul 11.
We investigated a novel, minimally invasive surgery that uses an absorbable suture technique to treat snoring and mild obstructive sleep apnea. This simple procedure was developed to increase the stiffness of the soft palate and to promote uvula elevation with sutures. Thirty-five snorer and mild obstructive sleep apnea syndrome patients were included in this study. The palate was sutured with the newly developed technique. The results of our surgery were evaluated using polysomnography (PSG), the Epworth sleepiness scale (ESS), and a visual analogue scale (VAS) before surgery and 90 days after surgery. One year after surgery, telephone interviews were performed to assess patient satisfaction. Postoperative physical examinations of all patients showed increased stiffness of the soft palate and superiorly displaced uvula. These findings were consistent after the postoperative day 90. The patients' snoring symptoms and their bed partners' complaints, assessed by ESS and VAS, significantly improved compared to the pre-treatment value (p < 0.05). Additionally, the apnea-hypopnea index (AHI), assessed by PSG, was significantly improved compared to the pre-treatment value (p < 0.05). Based on the results from the telephone interviews analyzed 1 year after surgery, about 88 % of patients were satisfied with the outcome. This minimally invasive snoreplasty that uses absorbable suture material is an effective and simple procedure for treating snoring and mild obstructive sleep apnea.
我们研究了一种新型的微创手术,该手术采用可吸收缝线技术来治疗打鼾和轻度阻塞性睡眠呼吸暂停。开发这种简单的手术是为了通过缝线增加软腭的硬度并促进悬雍垂抬高。本研究纳入了35例打鼾和轻度阻塞性睡眠呼吸暂停综合征患者。采用新开发的技术对软腭进行缝合。在手术前及术后90天,使用多导睡眠图(PSG)、爱泼华嗜睡量表(ESS)和视觉模拟量表(VAS)对我们手术的结果进行评估。术后一年,通过电话访谈评估患者满意度。所有患者的术后体格检查均显示软腭硬度增加且悬雍垂上移。术后90天后这些结果保持一致。通过ESS和VAS评估,患者的打鼾症状及其床伴的抱怨与治疗前相比有显著改善(p<0.05)。此外,通过PSG评估的呼吸暂停低通气指数(AHI)与治疗前相比有显著改善(p<0.05)。根据术后1年分析的电话访谈结果,约88%的患者对手术结果满意。这种使用可吸收缝合材料的微创打鼾成形术是治疗打鼾和轻度阻塞性睡眠呼吸暂停的一种有效且简单的手术。