Daneshi Ahmad, Jahandideh Hesam, Hosseinzadeh Farideh
ENT and Head & Neck Research Center, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
Department of Otolaryngology-Head and Neck Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Iran J Otorhinolaryngol. 2020 Jan;32(108):29-34. doi: 10.22038/ijorl.2019.31930.2051.
Based on the previous data, among the general population aged between 30 and 60 years, snoring is observed in 44% and 28% of males and females, respectively. Therefore, it is important to treat snoring to reduce the disruption of the bed partner's sleep and the patients' own problems. This study aimed to present a minimally invasive procedure which is easy to perform with less tissue damage.
This study included 13 patients suffering from primary snoring with soft palate length of 2.5cm or more. All of the patients were examined and their partners were asked to fill-out the relevant questionnaires at baselines, 90 days, 6 months and 1 year after the surgery in order to assess snoring. A crescent strip of oral mucosa along with the underlying muscle were removed under general anesthesia followed by the insertion of a piece of oval-shaped titanium mesh. Moreover, two subjective methods were employed to assess the snoring of all patients.
11 patients were male, and the mean age and the mean body mass index of the patients were 48.69 years and 28.34 kg/m, respectively. The scores obtained from the Visual Analog Scale for snoring loudness before surgery reduced from 7.63 to 3.54, which was statistically significant (P<0.05). None of the patients experienced major complications after surgery; however, there was a partial extrusion of the implant in one case which was managed conservatively with spontaneous healing.
Titanium snoreplasty was successful in the reduction of snoring in this study. This method is a single-stage treatment for simple snoring with the multiple effects of palatal shortening, space increasing, and palatal stiffening.
根据先前的数据，在30至60岁的普通人群中，分别有44%的男性和28%的女性存在打鼾现象。因此，治疗打鼾对于减少伴侣睡眠干扰以及患者自身问题至关重要。本研究旨在介绍一种易于实施且组织损伤较小的微创手术。
本研究纳入了13例原发性打鼾患者，软腭长度为2.5厘米或更长。所有患者均接受检查，并要求其伴侣在手术前、术后90天、6个月和1年填写相关问卷，以评估打鼾情况。在全身麻醉下切除一条新月形口腔黏膜及其下方的肌肉，随后植入一片椭圆形钛网。此外，采用两种主观方法评估所有患者的打鼾情况。
11例患者为男性，患者的平均年龄和平均体重指数分别为48.69岁和28.34kg/m²。术前打鼾响度视觉模拟量表得分从7.63降至3.54，差异具有统计学意义（P<0.05）。术后无患者发生严重并发症；然而，有1例出现植入物部分挤出，经保守治疗后自发愈合。
在本研究中，钛质鼾声成形术成功减少了打鼾。该方法是一种针对单纯打鼾的单阶段治疗方法，具有软腭缩短、空间增加和软腭变硬的多重效果。
