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Titolo:
DYNAMIC PHARYNGOSCOPY IN PREDICTING OUTCOME OF UVULOPALATOPHARYNGOPLASTY FOR MODERATE AND SEVERE OBSTRUCTIVE SLEEP-APNEA
Autore:
ABOUSSOUAN LS; GOLISH JA; WOOD BG; MEHTA AC; WOOD DE; DINNER DS;
Indirizzi:
CLEVELAND CLIN FDN,DEPT PULM & CRIT CARE MED,DESK A-90,9500 EUCLID AVE CLEVELAND OH 44195 CLEVELAND CLIN FDN,DEPT OTORHINOLARYNGOL CLEVELAND OH 44195 CLEVELAND CLIN FDN,DEPT SLEEP DISORDERS CLEVELAND OH 44195
Titolo Testata:
Chest
fascicolo: 4, volume: 107, anno: 1995,
pagine: 946 - 951
SICI:
0012-3692(1995)107:4<946:DPIPOO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER AIRWAY; COMPUTERIZED-TOMOGRAPHY; MULLER MANEUVER; SURGERY; SITE; PALATOPHARYNGOPLASTY; LOCALIZATION; SELECTION;
Keywords:
MULLERS MANEUVER; PHARYNGOSCOPY; SLEEP APNEA; UVULOPALATOPHARYNGOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
L.S. Aboussouan et al., "DYNAMIC PHARYNGOSCOPY IN PREDICTING OUTCOME OF UVULOPALATOPHARYNGOPLASTY FOR MODERATE AND SEVERE OBSTRUCTIVE SLEEP-APNEA", Chest, 107(4), 1995, pp. 946-951

Abstract

Study objective: We sought to determine whether preoperative fiberoptic pharyngoscopy (FOP) with Muller's maneuver (dynamic FOP) could be used to establish a subgroup of obstructive sleep apnea (OSA) patients with better outcome after uvulopalatopharyngoplasty (UPPP). Design: Retrospective review of an observational cohort. Setting: Tertiary care referral center. Patients: Twenty-nine patients who underwent UPPP andnasopharyngeal surgery by one surgeon. Intervention: The patients were divided into two groups based on the findings of preoperative dynamic FOP: group 1 (11 patients) had collapse of the velopharynx and the base of the tongue-epiglottis-hypopharynx (TEH) complex and group 2 (18patients) had velopharyngeal collapse only. Measurements and results:Surgical success was defined using a conventional definition (>50% reduction in the apnea-plus-hypopnea index [OAHI]), and a criterion for cure (>90% reduction in OAHI and postoperative OAHI <15). Both groups had a significant improvement in their OAHI. The success rate was significantly higher in patients with velopharyngeal collapse only compared with patients with additional collapse of the TEH complex (78 vs 36%with the conventional definition, and 50 vs 9% using the definition for cure, respectively). Predictive value of dynamic FOP in predicting cure failure when collapse of the TEH complex was present was 91%. Conclusions: Dynamic FOP may help establish a subgroup of OSA patients with greater likelihood of successful UPPP. The high negative predictivevalue of dynamic FOP when a criterion for cure is used suggests that this maneuver could best be used to exclude patients with TEH complex collapse from UPPP.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/08/20 alle ore 07:52:28