The Efficacy of Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Syndrome

Kong, Hea-Won; Kim, Hyun-Ah; Han, Jinkyu; Yun, Chang-Ho

doi:2004.1.2.32

J Korean Sleep Res Soc > Volume 1(2); 2004 > Article

ORIGINAL ARTICLE

J Korean Sleep Res Soc. 2004;1(2):32-36. doi: https://doi.org/10.13078/jksrs.04015

폐쇄성 수면 무호흡 증후군에서 구개수구개인두성형술의 효과

공혜원, 김현아, 한진규, 윤창호

¹인하대학교 의과대학 신경과학교실
²고려대학교 안암병원 신경과

The Efficacy of Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Syndrome

Hea-Won Kong, Hyun-Ah Kim, Jinkyu Han, Chang-Ho Yun

¹Department of Neurology, College of Medicine, Inha University, Incheon, Korea
²Department of Neurology, Korea University Anam Hospital*, Seoul, Korea

Corresponding Author: Chang-Ho Yun ,Tel: +82-32-890-3418, Fax: +82-32-890-3864, Email: ych333@inha.ac.kr

Received: November 16, 2004 Accepted: December 16, 2004 Published online: December 31, 2004

ABSTRACT

Background : Uvulopalatopharyngoplasty(UPPP) is a widely used as a first-line therapy for the treatment of obstructive sleep apnea syndrome(OSAS). However, UPPP is only effective in less than 50% of patients with OSAS. We analyzed the efficacy of UPPP in OSAS using subjective criteria. Methods : We included 19 consecutive patients with OSAS who underwent UPPP. Postoperative status was surveyed by telephone contact. Surgical failure was defined on the basis of subjective symptoms related with OSAS, such as snoring, observed apnea, unrefreshed sleep, and excessive daytime sleepiness. Results : Surgical failure was observed in 14(73.68%) patients, even though postoperative BMI was significantly lower than preoperative BMI(p<0.05). Conclusions : UPPP was not effective for treating OSAS, at least in the respect of subjective symptoms.

Keywords: Obstructive sleep apnea syndrome(OSAS) | Uvulopalatopharyngoplasty(UPPP) | Surgical failure.