Effectiveness of Uvulopalatoplasty and Nasal Surgery in OSAS Patients. This study aims to evaluate the effectiveness of simultaneous uvulopalatoplasty and nasal surgery in patients with moderate obstructive sleep apnoea syndrome. We studied 48 patients with obstructive sleep apnoea syndrome and nasal breathing disorders. The 1 group of 20 patients underwent septoplasty and volumetric tissue reduction of inferior turbinates and the 2 group of 28 patients underwent septoplasty, volumetric tissue reduction of inferior turbinate, uvulopalatoplasty. In the 1 group, the pre-operative apnoea-hypopnea index median decreased from 22.1 ep/h to 14.9 ep/h after the surgery. Pre-operative median of nasal airflow volume grew from 167.0 cm to 609.5 cm post-operatively and the loudness of snoring decreased
Effect of Treatment of Obstructive Sleep Apnea by Uvulopalatoplasty on Seizure Outcomes: A Case Report It is estimated that one-third of the people with refractory epilepsy suffer from obstructive sleep apnea (OSA). In a patient presenting with OSA symptoms and epilepsy, removing a portion of the soft palate (uvulopalatoplasty) can be considered the treatment of choice for eliminating the OSA
Elongated Uvula Causing Chronic Cough: Role of the Modified Uvulopalatoplasty Procedure. A subset of patients previously diagnosed with idiopathic chronic cough were found to have an elongated uvula contacting the laryngeal surface of the epiglottis and inducing a cough reflex. These patients were successfully treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our
The effects of dexamethasone and levobupivacaine on postoperative pain in Modified Radiofrequency Assisted Uvulopalatoplasty (MRAUP) surgery. The objective of this prospective, randomized study was to evaluate the effect of pre-emptive local infiltration of lidocaine, lidocaine plus dexamethasone, levobupivacaine and levobupivacaine plus dexamethasone on postoperative pain in Modified Radiofrequency Assisted Uvulopalatoplasty (MRAUP) cases. Sixty adult patients (44 males and 16 females) aged 32-51 years with simple snoring were divided into four groups. The anesthesia of the patients in the first group was achieved with lidocaine HCl, in the second group, with lidocaine HCl and dexamethasone sodium phosphate, in the third group, with levobupivacaine, and in the fourth group, levobupivacaine
Efficacy and safety of Glossopharyngeal nerve block in tonsillectomy and uvulopalatoplasty: A Systematic Review and Meta-Analysis Efficacy and safety of Glossopharyngeal nerve block in tonsillectomy and uvulopalatoplasty: A Systematic Review and Meta-Analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good
Controlled trial of combined radiofrequency-assisted uvulopalatoplasty in the treatment of snoring and mild to moderate OSAS (pilot study). The aim of this study was to assess the efficacy of radiofrequency treatment (RFT) of the soft palate and combined radiofrequency-assisted uvulopalatoplasty (RF-UPP) in the treatment of snoring and mild to moderate obstructive sleep apnea/hypopnea syndrome
Intraoperative ice pack application for uvulopalatoplasty pain reduction: A randomized controlled trial. Pain after uvulopalatoplasty continues to cause patients significant morbidity, especially from the tonsillectomy portion. The literature describes multiple techniques to reduce post-tonsillectomy pain, none being definitive. The purpose of this study was to evaluate the effect of intraoperative ice pack application on post-uvulopalatoplasty pain. Single-blinded, randomized controlled trial. After inclusion and exclusion criteria were met, patients were enrolled and randomized, and subsequently underwent standard electrocautery uvulopalatoplasty. Packs were placed into the tonsillar fossae immediately following tonsil removal and into the palate after the palatoplasty. Patients
) have also been used to maintain normal airflow dynamics during sleep. Procedures available for pharyngeal airway obstruction include laser-assisted uvulopalatoplasty (LAUP) and uvulopalatopharyngoplasty (UPPP).Coding recommendationsF32.8 Other specified other operations on palateY11.4 Radiofrequency controlled thermal destruction of organ NOCYour responsibilityThis guidance represents the view
resistance, and mechanical forces all may lead to increased MMP activity, contributing to elastin breakdown in the tarsus and other tissues throughout the body. Management of FES begins with investigation for OSA. Treating OSA with continuous positive airway pressure (CPAP) or surgical uvulopalatoplasty may improve FES. Surgical treatments for FES should reduce horizontal eyelid laxity while maximizing
to treat OSA at our center from September 2013 to April 2016. Long-term swallowing functions were assessed using subjective self-evaluated swallowing disturbances questionnaire (SDQ) and objective fiberoptic endoscopic evaluation of swallowing (FEES). Seven patients underwent TORS BOT reduction alone, whereas 32 had also uvulopalatoplasty ± tonsillectomy, with a surgical success rate of 71.4%. Mean time
. Palatal eversion is a promising technique in the treatment of post-adenotonsillectomy of combined nasopharyngeal stenosis and tonsillar pillars adhesion. It is recommended to be used on a wider scale of patients and other indications as nasopharyngeal stenosis following uvulopalatoplasty and post nasopharyngeal radiotherapy. The level of evidence: 4 (case series).
and uvulopalatoplasty [UPPP]) were extracted from the state ambulatory surgery databases for New York, Florida, Iowa, and California for 2010-2011. Cases with concurrent sinus surgery were excluded. Cases were linked to the state emergency department databases and the state inpatient databases to identify revisits within 14 days. The rates of unplanned revisits and postoperative bleeding were determined and compared
-analysis of randomized controlled trialSearchesthree digital databases (PubMed, Embase, Web of Science) were systematically screened from inception until December 2023. The language was restricted to EnglishTypes of study to be includedParticipants: human subjects of all ages who underwent palatine tonsillectomy (with or without adenoidectomy, uvulopalatoplasty) for benign conditions (recurrent /populationParticipants: human subjects of all ages who underwent palatine tonsillectomy (with or without adenoidectomy, uvulopalatoplasty) for benign conditions (recurrent tonsillitis, sleep disordered breathing, tonsillar hypertrophy, Studies evaluating patients who underwent tonsillotomy (incomplete removal) or cryosurgical tonsillectomy (application of intense cold to destroy tonsillar tissue), and tonsillectomies
or consistent benefit 2. Uvulopalatopharyngoplasty (UPPP) 1. No longer recommended due to low efficacy 2. Laser or excision of redundant posterior pharynx 3. Only effective in 30-50% of patients 1. Airway narrows below level where surgery occurs 4. Modified procedures 1. Laser-assisted uvulopalatoplasty 2. Radiofrequency ablation 3
anesthesia, and uvulectomy can be performed as an office procedure by using cautery or a carbon dioxide laser. In 1993, laser-assisted uvulopalatoplasty was first described as a procedure for individuals with mild OSA who snore. The procedure consists of incising the inferior rim of the soft palate and uvula. The tonsils are not removed.Pillar systemThe Pillar procedure, involving the insertion of palatal . The complication rate seems to be about 3%, based on the studies currently available.Minor bleeding is the only common complication of uvulopalatoplasty; UPPP may provoke more significant bleeding when the tonsils are removed. Airway obstruction, velopharyngeal insufficiency, and nasopharyngeal stenosis are less common complications of UPPP. Most advocate inpatient care in a closely monitored unit.The most
adenotonsillectomy, laser-assisted uvulopalatoplasty, lingual resection, lingualplasty, genioglossal advancement, and hyoid suspension.Previous Next: TracheostomyTracheostomy is a surgical technique used to bypass the upper airway in order to relieve upper airway obstruction. This option is reserved for the most severe cases because of the very significant psychosocial implications and potential complications