Stepnick D W
University Hospitals of Cleveland, Department of Otolaryngology-Head and Neck Surgery, OH 44106.
Ear Nose Throat J. 1993 Jan;72(1):86-90.
UPPP has emerged over the past decade as a surgical procedure to improve or possibly eliminate Obstructive Sleep Apnea. The procedure itself is not uniformly successful and the technique continues to undergo evolution. Most complications occur in the acute post-operative period and are not unusual. Late complications are seen much less frequently: less than 100 cases of severe nasopharyngeal stenosis have been reported. Several authors have previously identified this problem and have published "avoidance strategies" and we recommend that the UPPP surgeon be well aware of these pitfalls and the ways to avoid them. Stenosis repair using pharyngeal flaps should be the primary technique used to correct this problem. The radial forearm free flap provides the surgeon with another technique for repair of acquired nasopharyngeal stenosis in problem cases in which pharyngeal flap procedures have failed. As with any surgery, the surgeon must have a thorough understanding of the wound healing process.
在过去十年中，悬雍垂腭咽成形术（UPPP）已成为一种用于改善或可能消除阻塞性睡眠呼吸暂停的外科手术。该手术本身并非总是成功，其技术仍在不断发展。大多数并发症发生在术后急性期，并不罕见。晚期并发症则少见得多：据报道，严重鼻咽狭窄病例不到100例。此前已有多位作者发现了这个问题并发表了“预防策略”，我们建议实施UPPP的外科医生充分了解这些陷阱以及避免它们的方法。使用咽瓣修复狭窄应是纠正此问题的主要技术。对于咽瓣手术失败的疑难病例，桡侧前臂游离皮瓣为外科医生提供了另一种修复后天性鼻咽狭窄的技术。与任何手术一样，外科医生必须全面了解伤口愈合过程。
