低温等离子体辅助带倒刺重新定位咽成形术（Co-BRP）在阻塞性睡眠呼吸暂停手术治疗中的应用
Coblator Assisted-Barbed Relocation Pharyngoplasty (Co-BRP) in Obstructive Sleep Apnea Surgical Treatment.
作者信息
Bahgat Ahmed, Vicini Claudio, Bahgat Yassin, Magliulo Giuseppe, Greco Antonio, De Virgilio Armando, Pace Annalisa, Maniaci Antonino, Lechien Jerome, De Vito Andrea, Cammaroto Giovanni, Caranti Alberto, Casale Manuele, Moffa Antonio, Cocuzza Salvatore, Olszewska Ewa, Perrone Tiziano, Iannella Giannicola
机构信息
Department of Otorhinolaryngology-Head & Neck Surgery Alexandria University Alexandria Egypt.
Department ENT & Audiology University of Ferrara Ferrara Italy.
出版信息
OTO Open. 2025 Jan 13;9(1):e70019. doi: 10.1002/oto2.70019. eCollection 2025 Jan-Mar.
Barbed reposition pharyngoplasty (BRP) is a new technique to manage velo-pharyngeal obstruction and collapse in OSA patients. Tonsillectomy is a preliminary step of BRP surgery. Dissection of the PPM with monopolar or hot instruments is an essential step of the BRP technique. Tonsillectomy and muscle manipulation should be managed with careful attention due to the risk of muscle fibers rupture and surgical failure. We describe the coblator assisted BRP. The aim of this paper is to report the use and advantages of coblator technology in tonsillectomy and the velo-pharyngeal dissection before the PPM relocation with barbed sutures. In this operative technique study 100 OSA patients underwent Co-barbed technique. The CO-BRP technique has been considered fast, safe and minimally invasive with a low postoperative pain (mean value 3.63 ± 0.7). Postoperatively, a significant decrease in mean AHI from 35.63 ± 10.57 to 17.06 ± 5.92 ( < .005) emerged.
倒刺重新定位咽成形术（BRP）是一种治疗阻塞性睡眠呼吸暂停（OSA）患者腭咽阻塞和塌陷的新技术。扁桃体切除术是BRP手术的初步步骤。使用单极或热器械分离腭咽肌是BRP技术的关键步骤。由于存在肌纤维破裂和手术失败的风险，扁桃体切除术和肌肉操作应格外小心。我们描述了使用等离子刀辅助的BRP。本文的目的是报告等离子刀技术在扁桃体切除术以及在使用倒刺缝线重新定位腭咽肌之前的腭咽分离术中的应用及优势。在这项手术技术研究中，100例OSA患者接受了联合倒刺技术。CO-BRP技术被认为快速、安全且微创，术后疼痛程度低（平均值3.63±0.7）。术后，平均呼吸暂停低通气指数（AHI）从35.63±10.57显著降至17.06±5.92（<0.005）。
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