HYPOPHARYNGEAL PROCEDURES COMBINED WITH UVULOPALATOPHARYNGOPLASTY FOR SURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA
1Yenimahalle Devlet Hastanesi, Kulak Burun Boğaz, Ankara, Türkiye2Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz, Samsun, Türkiye Objective: The aim of this study was to evaluate the effectiveness of the hypopharyngeal surgical procedures combined with uvulopalatopharyngoplasty (UPPP) in moderate and severe obstructive sleep apnea (OSA) patients.
Patients and Method: We conducted a retrospective analysis of ninety-six patients underwent multilevel surgery. UPPP was combined with five different hypopharyngeal procedures (radiofrequent ablation of the tongue base, genioglossus advancement, hyoid suspension, thyrohyoid suspension and transcervical tongue base suspension). Five surgical combinations were compared for pre- and post-operative AHI and the lowest O2 saturation values. The complications were also noticed.
Results: The mean AHI for each group decreased significantly and the mean LO2 Sat increased significantly after the procedures (p˂0.05). We did not see differences between five groups when the pre-operative and post-operative the mean AHI and the mean Lsat O2 values were compared (p˃0.05). Minor complications were seen in three patients.
Conclusions: Hypopharyngeal surgery combined with UPPP in moderate or severe OSA is associated with improved post-operative AHI and subjective outcomes.
Keywords : Hypopharyngeal surgery, obstructive sleep apnea, uvulopalatopharyngoplasty