Ozan Seymen SEZEN, Hande KAYTANCI, Banu SALEPÇİ, Gülfem YURTERİ, Utku KUBİLAY, Temel COŞKUNER, Benan ÇAĞLAYAN, Şeref ÜNVER
Basit horlama tedavisinde palatal Pillar implantlar
Amaç: Bu çalışmada horlama tedavisinde palatal implantların etkinliği değerlendirildi.Hastalar ve Yöntemler: Basit horlaması olan ve apne hipopne indeksi 15’in altında bulunan 17 hastaya 10 erkek, 7 kadın; ort yaş 49.2±7.8 yıl; dağılım 31-66 yıl klinik ve endoskopik değerlendirmelerin ardından palatal implant uygulandı. Tedavi başlangıcında ve 90 gün sonrasında horlama ile ilişkili semptomlar değerlendirildi ve hastalara polisomnografi uygulandı. Hastalar ve eşleri, horlamayı, apneyi, gündüz uykululuğunun yoğunluğunu ve süresini değerlendiren formları ve görsel analog skalalarını GAS tedavi başlangıcında ve implant uygulandıktan 90 gün sonra doldurdular. Ameliyat öncesi ve sonrası değerlendirme sonuçları karşılaştırıldı.Bulgular: Hastalarda ameliyat sonrasında Epworth uykululuk skalası skorundaki düşme belirgindi p
Anahtar Kelimeler:
Damak implantları, uyku apne sendromu horlama, horlama tedavisi
Palatal Pillar implants for the treatment of simple snoring
Objectives: In this study the efficacy of palatal implants for treatment of snoring was evaluated. Patients and Methods: Seventeen patients 10 males, 7 females; mean age 49.2±7.8 years; range 31 to 66 years with primary snoring and an apnea-hypopnea index of less than 15 were treated with palatal implants after clinical and endoscopic examination. Snoringrelated symptoms were evaluated at baseline and 90 days after surgery and polysomnography was performed. Patients and their spouses completed questionnaires and visual analog scales VAS evaluating snoring, apneas, and the intensity, duration, and social effects of daytime sleepiness at baseline and 90 days after surgery. Pre- and postoperative assesment results were compared. Results: Epworth sleepiness scale score was significantly decreased in the postoperative period p
Keywords:
Palatal implant sleep apnea syndrome, snoring, snoring treatment,
___
- Hoffstein V. Snoring. Chest 1996;109:201-22.
- Hoffstein V, Mateika JH, Mateika S. Snoring and sleep architecture. Am Rev Respir Dis 1991;143:92-6.
- Agrawal S, Stone P, McGuinness K, Morris J, Camilleri AE. Sound frequency analysis and the site of snoring in natural and induced sleep. Clin Otolaryngol Allied Sci 2002;27:162-6.
- Fujita S, Conway W, Zorick F, Roth T. Surgical cor- rection of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923-34.
- Kamami YV. Laser CO2 for snoring. Preliminary results. Acta Otorhinolaryngol Belg 1990;44:451-6.
- Powell NB, Riley RW, Troell RJ, Li K, Blumen MB, Guilleminault C. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disor- dered breathing. Chest 1998;113:1163-74.
- Brietzke SE, Mair EA. Injection snoreplasty: how to treat snoring without all the pain and expense. Otolaryngol Head Neck Surg 2001;124:503-10.
- Levinson SR. Injection snoreplasty. Otolaryngol Head Neck Surg 2001;125:579-80.
- Ho WK, Wei WI, Chung KF. Managing disturbing snoring with palatal implants: a pilot study. Arch Otolaryngol Head Neck Surg 2004;130:753-8.
- Nordgård S, Wormdal K, Bugten V, Stene BK, Skjİstad KW. Palatal implants: a new method for the treatment of snoring. Acta Otolaryngol 2004;124:970-5.
- Kühnel TS, Hein G, Hohenhorst W, Maurer JT. Soft palate implants: a new option for treating habitual snoring. Eur Arch Otorhinolaryngol 2005;262:277-80.
- Waitzová D, Kramplová M, Mandys V, Dvorák J. Biostability and morphology of tissue reaction of some synthetic polymers. Polim Med 1986;16:93-109.
- Homsy CA, McDonald KE, Akers WW, Short C, Freeman BS. Surgical suture-canine tissue interaction for six common suture types. J Biomed Mater Res 1968; 2:215-30.
- Klinge U, Klosterhalfen B, Conze J, Limberg W, Obolenski B, Ottinger AP, et al. Modified mesh for hernia repair that is adapted to the physiology of the abdominal wall. Eur J Surg 1998;164:951-60.
- Vinard E, Eloy R, Descotes J, Brudon JR, Guidicelli H, Magne JL, et al. Stability of performances of vascular prostheses retrospective study of 22 cases of human implanted prostheses. J Biomed Mater Res 1988; 22:633-48.
- Greenwald D, Shumway S, Albear P, Gottlieb L. Mechanical comparison of 10 suture materials before and after in vivo incubation. J Surg Res 1994;56:372-7.
- Feldman DS, Hultman SM, Colaizzo RS, von Recum AF. Electron microscope investigation of soft tissue ingrowth into Dacron velour with dogs. Biomaterials 1983;4:105-11.
- Müller KM, Dasbach G. The pathology of vascular grafts. Curr Top Pathol 1994;86:273-306.
- Nordgård S, Stene BK, Skjİstad KW, Bugten V, Wormdal K, Hansen NV, et al. Palatal implants for the treatment of snoring: long-term results. Otolaryngol Head Neck Surg 2006;134:558-64.
- Maurer JT, Hein G, Verse T, Hörmann K, Stuck BA. Long-term results of palatal implants for primary snoring. Otolaryngol Head Neck Surg 2005;133:573-8.
- Eryılmaz A, Erişen L, Ursavaş A, Karadağ M, Selçuk S, Basut O, et. al. Saf horlama hastalığı ve hafif-orta tıkayıcı uyku apnesi sendromunda palatal implant tedavisi. Türk Otolarengoloji Arşivi 2008;46:96-104.
- Friedman M, Vidyasagar R, Bliznikas D, Joseph NJ. Patient selection and efficacy of pillar implant tech- nique for treatment of snoring and obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg 2006;134:187-96.
- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
Sayıdaki Diğer Makaleler
İlhami YILDIRIM, Harun ÇIRALIK, Erdoğan OKUR, Barlas AYDOĞAN, M. Akif KILIÇ
Baran ACAR, Mehmet Ali BABADEMEZ, Hayriye KARABULUT, Bülent ÇİFTÇİ, Emre GÜNBEY, Rıza Murat KARAŞEN
Basit horlama tedavisinde palatal Pillar implantlar
Ozan Seymen SEZEN, Hande KAYTANCI, Banu SALEPÇİ, Gülfem YURTERİ, Utku KUBİLAY, Temel COŞKUNER, Benan ÇAĞLAYAN, Şeref ÜNVER
Tip 1 tiroplastiden 10 yıl sonra spontan silastik protez kayması: Olgu sunumu