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Snoring and obstructive sleep apnea |
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| รหัสดีโอไอ | |
| Creator | Chairat Neruntarat |
| Title | Snoring and obstructive sleep apnea |
| Publisher | Faculty of Medicine,Srinakharinwirot University |
| Publication Year | 2544 |
| Journal Title | Journal of Medicine and Health Sciences |
| Journal Vol. | 7 |
| Journal No. | 3 |
| Page no. | 131-140 |
| Keyword | snoring, obstructive sleep apnea |
| ISSN | 0859-3302 |
| Abstract | Snoring and obstructive seep apnea (OSA) are ongoing disease processes.Snoring once thought to be only a soc~al d~sease, may actually be a precursorto subsequent OSA. Treatment begins by eliminating or reducing causat~ve orexacerbating factors. The traditional plan involves weight loss, alteration ofsleeping position, and avoidance of sedatives, smoking, and alcohol. In themanagement of all patients with OSA, weight loss with continuous positive airwaypressure or surgery may be considered. There are several innovations in thesurgical techniques available for treatment of patients with sleep-disorderedbreathing. Outpatient techniques such as laser-assisted uvulopalatoplasty (LAUP)and additional procedures designed to address hypopharyngeal and base oftongue obstruction (genioglossus advancement, hyoid myotomy, and tongue basesuspension) have been developed and proven successful. This study wasconducted to evaluate the efficacy of the treatment options for snoring and OSA.There were 324 patients who enrolled for the treatment of snoring and OSA. 163patients (50.3%) chose non surgical interventions. One hundred and sixty onepatients (49.7%) were determined to be candidates for surgery Seventy fivesimple snorers who underwent LAUP procedure. 85% of patients had greaterthan 70% improvement of their snoring. A successful surg~cal response in thepostoperative respi/atory disturbance index (RDI) compared with the preoperativevalue was achieved in 69.6% of uvulopalatopharyngoplasty (UPPP)-treated and66.7% of LAUP-treated OSA patients. Twenty-two patients with more significantobstructive sleep apnea (mean RDI = 56.6 2 18.8) underwent pharyngealsurgery consisting of genioglossus advancement and hyoid myotomy combinedwith UPPP The surgical success rate in this group of patients was 63.6%.Six patients underwent UPPP and tongue base suspension. There were 4 cases'of surgical success. Hyo~d myotomy with suspension could be perfcrmed underlocal anesthesia w~th m~ld oral or intravenous sedation There were no serlouscomplications in the treatment modalities in this study. |
