Ela ARAZ SERVER, Zeynep ALKAN, Özgür YİĞİT, Ahmet Görkem YASAK

Pillar implant işleminin uzun dönem sonuçları

Amaç: Bu çalışmada pillar implant Pİ işleminin uzun dönem etkinlik ve güvenilirliği araştırıldı.Hastalar ve Yöntemler: Bu nonrandomize retrospektif çalışmada Ocak 2008 - Ocak 2010 tarihleri arasında düşük obstrüktif uyku apne sendromu ve basit horlama tanısı konan toplam 27 hastaya 16 erkek, 11 kadın; ort. yaş 45.8±7.2 yıl; dağılım 31-58 yıl Pİ işlemi uygulandı. Ameliyat öncesi hastaların görsel analog ölçeği GAÖ değerleri horlama, yutma güçlüğü, ağız kuruluğu, yabancı cisim hissi ve ağrı açısından, ilk ay, üçüncü ay ve altıncı yılda değerlendirildi.Bulgular: Horlama skalasına göre GAÖ değerleri, ameliyat öncesi değerler ile karşılaştırıldığında ilk ay, üçüncü ay ve altıncı yılda istatistiksel olarak anlamlı derecede düşük bulundu sırasıyla, p=0.001, p=0.008, p=0.017 . Üçüncü gün sonrasında hiçbir hastada ağrı yoktu. Tüm değerlendirmelerde GAÖ değer ortalamaları ameliyat öncesi ortalamalara göre istatistiksel anlamlı olarak yüksekti sırasıyla, p=0.018, p=0.027, p=0.025 . Ağız kuruluğu ile yedi hastada karşılaşıldı. Bu durum yedi hastada üçüncü ayda ve beş hastada altıncı yıl aralığında devam etti. Tüm değerlendirmelerde GAÖ değer ortalamaları ameliyat öncesi değerleri ile karşılaştırıldığında istatistiksel anlamlı olarak yüksek bulundu sırasıyla p=0.017, p=0.018, p=0.042 .Sonuç: Pillar implant uzun dönemde etkin, güvenilir bir yöntemdir; ancak disfaji, yabancı cisim hissi ve ağız kuruluğu gibi yakınmalara neden olabileceği dikkate alınmalıdır

Anahtar Kelimeler:

Obstrüktif uyku apne sendromu, pillar implant, horlama

Long-term results of pillar implant procedure

Objectives: This study aims to investigate the long-term efficiency and reliability of the Pillar Implant PI procedure. Patients and Methods: Between January 2008 and January 2010, a total of 27 patients 16 males, 11 females; mean age 45.8±7.2 years; range 31 to 58 years who were diagnosed with low obstructive sleep apnea syndrome and simple snoring underwent the PI procedure in this retrospective, nonrandomized study. The patients were evaluated preoperatively with visual analog scale VAS scores in terms of snoring, dysphagia, mouth dryness, foreign body sensation, and pain at the first month, third month, and sixth year intervals. Results: Based on the snoring scale, VAS scores were statistically significantly lower in the first month, third month and sixth year compared to preoperative scores p=0.001, p=0.008, p=0.017, respectively . There was no pain in any patients beyond the third day. The VAS score averages in all evaluations were higher by statistical significance relative to the preoperative averages p=0.018, p=0.027, p=0.025, respectively . Mouth dryness was encountered in seven patients. It persisted in seven patients at the third month and in five patients at the sixth year interval. The VAS score averages were statistically significantly higher in all evaluations compared to the preoperative scores p=0.017, p=0.018, p=0.042, respectively . Conclusion: Pillar implant is an efficient, reliable method in the long-term; however, it should be considered that it could cause complaints such as dysphagia, foreign body sensation, and mouth dryness.

Keywords:

Obstructive sleep apnea syndrome, pillar implant, snoring,

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