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无并发症的悬雍垂腭咽成形术:一种藤田并发症

[Uvulopalatopharyngoplasty without complications: a Fujita complication].

作者信息

Pirsig W, Schäfer J, Yildiz F, Nagel J

机构信息

Universitätsklinik für Hals-Nasen-Ohrenheilkunde.

出版信息

Laryngorhinootologie. 1989 Nov;68(11):585-90. doi: 10.1055/s-2007-998408.

Abstract

In 17 illustrations, a modification of Fujita's technique of UPPP is presented. This operation consists of excising redundant velar tissues from the free margin of the soft palate, tonsillar pillars, and uvula without reducing the muscles of the velum. In addition, the uvula muscle is almost completely preserved. Seventy patients, with habitual snoring or with obstructive sleep apnea syndrome, who underwent this surgery were followed-up from six to 24 months and did not show any palatal insufficiency with air and liquid escape through the nose. Additional remarks are made concerning the difficulties encountered during intubation of 60 percent of patients with chronic rhonchopathy.

摘要

在17幅插图中,展示了对藤田悬雍垂腭咽成形术(UPPP)技术的一种改良。该手术包括从软腭游离缘、扁桃体柱和悬雍垂切除多余的腭部组织,而不减少腭部肌肉。此外,悬雍垂肌几乎完全得以保留。70例习惯性打鼾或阻塞性睡眠呼吸暂停综合征患者接受了该手术,随访6至24个月,未出现任何腭部功能不全导致空气和液体经鼻溢出的情况。另外还提到了60%患有慢性鼾症的患者在插管过程中遇到的困难。

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