Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1989 Mar;44(3):205–208. doi: 10.1136/thx.44.3.205

Uvulopalatopharyngoplasty in severe idiopathic obstructive sleep apnoea syndrome.

E B Walker 1, R W Frith 1, D A Harding 1, B R Cant 1
PMCID: PMC461754  PMID: 2650012

Abstract

Eleven patients with severe obstructive sleep apnoea syndrome, which was fully reversed by treatment with nasal continuous positive airways pressure, underwent uvulopalatopharyngoplasty. All patients were followed for at least 12 months after surgery. One patient with large tonsils was cured. Of the remaining 10 patients, two showed minimal objective improvement at 12 months and the rest were unchanged. Four patients subsequently developed cardiac failure due to obstructive sleep apnoea. Thus uvulopalatopharyngoplasty was not effective in these patients with severe idiopathic obstructive sleep apnoea syndrome.

Full text

PDF
205

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Borowiecki B. D., Sassin J. F. Surgical treatment of sleep apnea. Arch Otolaryngol. 1983 Aug;109(8):508–512. doi: 10.1001/archotol.1983.00800220014004. [DOI] [PubMed] [Google Scholar]
  2. Caldarelli D. D., Cartwright R., Lilie J. K. Severity of sleep apnea as a predictor of successful treatment by palatopharyngoplasty. Laryngoscope. 1986 Sep;96(9 Pt 1):945–947. [PubMed] [Google Scholar]
  3. Conway W., Fujita S., Zorick F., Sicklesteel J., Roehrs T., Wittig R., Roth T. Uvulopalatopharyngoplasty. One-year followup. Chest. 1985 Sep;88(3):385–387. doi: 10.1378/chest.88.3.385. [DOI] [PubMed] [Google Scholar]
  4. Frith R. W., Cant B. R. Severe obstructive sleep apnoea treated with long term nasal continuous positive airway pressure. Thorax. 1985 Jan;40(1):45–50. doi: 10.1136/thx.40.1.45. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fujita S., Conway W. A., Zorick F. J., Sicklesteel J. M., Roehrs T. A., Wittig R. M., Roth T. Evaluation of the effectiveness of uvulopalatopharyngoplasty. Laryngoscope. 1985 Jan;95(1):70–74. doi: 10.1288/00005537-198501000-00017. [DOI] [PubMed] [Google Scholar]
  6. Fujita S., Conway W., Zorick F., Roth T. Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg. 1981 Nov-Dec;89(6):923–934. doi: 10.1177/019459988108900609. [DOI] [PubMed] [Google Scholar]
  7. Fujita S. UPPP for sleep apnea and snoring. Ear Nose Throat J. 1984 May;63(5):227–235. [PubMed] [Google Scholar]
  8. Gordon A. S., Giles M. L., Harding D. A., Morton R. P. Surgery of snoring. J Laryngol Otol. 1986 Nov;100(11):1263–1267. doi: 10.1017/s0022215100100945. [DOI] [PubMed] [Google Scholar]
  9. Guilleminault C., Hayes B., Smith L., Simmons F. B. Palatopharyngoplasty and obstructive sleep apnea syndrome. Bull Eur Physiopathol Respir. 1983 Nov-Dec;19(6):595–599. [PubMed] [Google Scholar]
  10. Guilleminault C., Simmons F. B., Motta J., Cummiskey J., Rosekind M., Schroeder J. S., Dement W. C. Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience. Arch Intern Med. 1981 Jul;141(8):985–988. [PubMed] [Google Scholar]
  11. Hernandez S. F. Palatopharyngoplasty for the obstructive sleep apnea syndrome: technique and preliminary report of results of ten patients. Am J Otolaryngol. 1982 Jul-Aug;3(4):229–234. doi: 10.1016/s0196-0709(82)80060-4. [DOI] [PubMed] [Google Scholar]
  12. Ray C. S., Sue D. Y., Bray G., Hansen J. E., Wasserman K. Effects of obesity on respiratory function. Am Rev Respir Dis. 1983 Sep;128(3):501–506. doi: 10.1164/arrd.1983.128.3.501. [DOI] [PubMed] [Google Scholar]
  13. Raymond C. A. Popular, yes, but jury still out on apnea surgery. JAMA. 1986 Jul 25;256(4):439–441. [PubMed] [Google Scholar]
  14. Simmons F. B., Guilleminault C., Miles L. E. The palatopharyngoplasty operation for snoring and sleep apnea: an interim report. Otolaryngol Head Neck Surg. 1984 Aug;92(4):375–380. doi: 10.1177/019459988409200401. [DOI] [PubMed] [Google Scholar]
  15. Simmons F. B., Guilleminault C., Silvestri R. Snoring, and some obstructive sleep apnea, can be cured by oropharyngeal surgery. Arch Otolaryngol. 1983 Aug;109(8):503–507. doi: 10.1001/archotol.1983.00800220009003. [DOI] [PubMed] [Google Scholar]
  16. Smith P. L., Gold A. R., Meyers D. A., Haponik E. F., Bleecker E. R. Weight loss in mildly to moderately obese patients with obstructive sleep apnea. Ann Intern Med. 1985 Dec;103(6 ):850–855. doi: 10.7326/0003-4819-103-6-850. [DOI] [PubMed] [Google Scholar]
  17. Sullivan C. E., Issa F. G., Berthon-Jones M., Eves L. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet. 1981 Apr 18;1(8225):862–865. doi: 10.1016/s0140-6736(81)92140-1. [DOI] [PubMed] [Google Scholar]
  18. Wetmore S. J., Scrima L., Snyderman N. L., Hiller F. C. Postoperative evaluation of sleep apnea after uvulopalatopharyngoplasty. Laryngoscope. 1986 Jul;96(7):738–741. doi: 10.1288/00005537-198607000-00007. [DOI] [PubMed] [Google Scholar]
  19. deBerry-Borowiecki B., Kukwa A. A., Blanks R. H. Indications for palatopharyngoplasty. Arch Otolaryngol. 1985 Oct;111(10):659–663. doi: 10.1001/archotol.1985.00800120053005. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES