Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Combined therapy of severe obstructive sleep apnoea by surgery and oral appliance.
Autore:
Maurer, JT; Hirth, K; Mattinger, C; Hormann, K;
Indirizzi:
Univ Mannheim, Schlafmed Zentrums, Klin Hals Nasen & Ohrenheilkunde, D-68135 Mannheim, Germany Univ Mannheim Mannheim Germany D-68135 lkunde, D-68135 Mannheim, Germany
Titolo Testata:
LARYNGO-RHINO-OTOLOGIE
fascicolo: 5, volume: 80, anno: 2001,
pagine: 278 - 281
SICI:
1615-0007(200105)80:5<278:CTOSOS>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
GER
Soggetto:
APNEA SYNDROME; UVULOPALATOPHARYNGOPLASTY; EFFICACY; AIRWAY;
Keywords:
sleep apnoea; snoring; surgery; uvulopalatopharyngoplasty; oral appliance;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Maurer, JT Univ Mannheim, Schlafmed Zentrums, Klin Hals Nasen & Ohrenheilkunde, D-68135 Mannheim, Germany Univ Mannheim Mannheim Germany D-68135 8135 Mannheim, Germany
Citazione:
J.T. Maurer et al., "Combined therapy of severe obstructive sleep apnoea by surgery and oral appliance.", LARY RH OTO, 80(5), 2001, pp. 278-281

Abstract

We report on a 41-year old patient who complained of loud snoring, excessive daytime sleepiness and chronic nasal obstruction. Clinical findings wereseptal deviation and enlarged turbinates, tonsillar hypertrophy with velarwebbing and pharyngeal narrowing. Polysomnography revealed severe obstructive sleep apnoea syndrome with an apnoea-hypopnoea index (AHI) of 51.7/h. As the patient refused nCPAP therapy, we performed septoplasty with conchotomy and an uvulopalatopharyngoplasty with tonsillectomy. Snoring and excessive daytime sleepiness disappeared completely and the AHI decreased to 31.1/h, The mandibular advancement device Snorban((R)) was subsequently fitted. We found a complete resolution of OSAS. The AHI was 4.4/h. The postsurgicalpolysomnographic results were stable two years after surgery. However, thepatient discontinued using the oral device as he did not feel any additional benefit when using it. The combination of UPPP and mandibular advancement device can resolve a severe OSAS.

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Documento generato il 23/01/20 alle ore 04:11:49