Horlama ve tıkayıcı uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin etkinliğinin değerlendirilmesi
Amaç: Horlama ve uyku apnesi tedavisinde laser-assisted uvulopalatoplastinin LAUP etkinliği değerlendirildi.Hastalar ve Yöntem: Basit horlama ve hafif tıkayıcı uyku apnesi sendromu TUAS saptanan 34 hastaya LAUP uygulandı. Ameliyat sonrası birinci ve altıncı aylarda eldeedilen Epworth uyku skalası, polisomnografik değerlerve horlama skorları, ameliyat öncesi değerlerle karflılafltırıldı. Ayrıca, hasta memnuniyetini değerlendirmeyeyönelik sorulardan oluflan bir anket uygulandı.Bulgula r : Tüm hastaların horlamalarında azalma ve uyku kalitelerinde artıfl %79 saptandı. Ameliyat sonrası birinci aydaki klinik bafları, altıncı ayda da devam etti. Hasta ve yakınlarının sonuçlardan memnuniyet oranı sırasıyla %88 ve %85 bulundu. Epworth p=0.000 ve görselhorlama skorlarında p
Anahtar Kelimeler:
Hava yolu tıkanıklığı/cerrahi, lazer cerrahisi/yöntem, damak, yumuflak/cerrahi, polisomnografi, uyku apnesi sendromları, horlama/cerrahi, uvula/cerrahi
The efficacy of laser-assisted uvulopalatoplasty in the treatment of snoring and obstructive sleep apnea
Objectives: We evaluated the efficacy of laser-assist ed uvulopalatoplasty in the treatment of snoring and obstructive sleep apnea syndrome O S A S .Patients and Methods: Laser-assisted uvulopalatoplas ty vvas performed in 34 patients 30 males, 4 females; mean age 45.7 years; range 17 to 70 years vvith simple snoring and mild OSAS. The patients vvere evaluated preoperatively and in the first and sixth months postoper- atively vvith the use of the Epvvorth sleepiness scale, polysomnography, and snoring scores. A questionnaire vvas administered to assess patient satisfaction.Ftesults: AH patients had decreased snoring. The guality of sleep increased in 79%. The clinical improvement seen in the first month continued through the sixth postoperative month. Satisfaction rates for the patients and their families vvere 88% and 85%, respectively. Significant decreases vvere found in the Epvvorth sleepiness scale p=0.000 and visual snoring scores p<0.001 . İn addition, postoperative desaturation indices decreased and minimal desaturation levels increased. Hovvever, no significant decreases occurred in the apnea/hypopnea index. No complications vvere encountered during and after operation.Conclusion: Laser-assisted uvulopalatoplasty has high efficacy in the treatment of snoring and mild OSAS, vvith such additional advantages as ease, lovv complication rate, and no need for hospitalization.
Keywords:
Airvvay obstruction/surgery, laser surgery/ methods, palate, soft/surgery, polysomnography, sleep apnea syndromes, snoring/surgery, uvula/surgery,
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- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
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