Sleep Medicine and Psychophysiology (수면정신생리)

KOREAN ACADEMY OF SLEEP MEDICINE (대한수면의학회)
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Measuring and Predicting Success of Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Patients

폐쇄성 수면무호흡증 환자에서 구개수구개인두 성형술의 결과평가 및 예측 변수에 관한 고찰

  • Park, Young-Hak (Department of Otolaryngology, College of Medicine, the Catholic University of Korea) ;
  • Park, So-Young (Department of Otolaryngology, College of Medicine, the Catholic University of Korea)
  • 박영학 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 박소영 (가톨릭대학교 의과대학 이비인후과학교실)
  • Published : 1996.06.30
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Abstract

Uvulopalatopharyngoplasty(UPPP) is an operation that is frequently performed for the patient of obstructive sleep apnea(OSA). A major problem has been to select those patients who will have a good response to UPPP. We compared preoperative and postoperative polysomnography(PSG) in 20 patients to evaluate the success rate of the operation. Each subject underwent a cephalometric roentgenogram, and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in roentgenogram and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in preop evaluation of patients with OSA. No PSG parameter could accurately predict the changes in sleep after UPPP. There were no significant differences between the responders and the nonresponders concerning the cephalometric analysis, the type of obstruction by Mueller maneuver, and body mass index(BMI). The conclusions of this study are thus that UPPP is an effective treatment for the OSAS with a high success rate, but that there is no single useful parameter predicting the success of the operation.

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