Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS

Abstract

Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS. Objective: To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome.

Methodology: Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. Setting: University ENT division with a tertiary snoring referral center.

Participants: Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome.

Main outcome measures: Pre- and post-operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post-treatment complication recording.

Results: Complete response to therapy was obtained in 78% of patients. Four patients had relief of symptoms but retained apnea/hypopnea index scores greater than 5.

Conclusions: Uvulopalatopharyngoplasty associated with tonsillectomy can be employed safely to treat patients with normal body mass index who suffer from severe obstructive sleep apnea.