Simultaneous midline laser glossectomy with palatopharyngeal surgery for obstructive sleep apnoea syndrome

T. H. Hsieh, Tuan-Jen Fang, Hsueh Yu Li*, S. W. Lee

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

9 Scopus citations

Abstract

We investigate the outcome of performing tongue base reduction surgery and palatopharyngeal surgery in a single stage to determine whether the same-stage midline laser glossectomy (MLG) with extended uvulopalatal flap (EUPF) for obstructive sleep apnoea syndrome (OSAS) is a safe and effective procedure. Six male patients with a history of severe OSAS were recruited into the retrospective study. They were the first patients to undergo the MLG with EUPF procedure. Patients were identified to have retropalatal and hypopharyngeal sites of obstruction on the basis of fiberoptic endoscopy with Muller's manoeuvre and three-dimensional computerised tomography. No significant adverse events occurred. The follow-up polysomnography (6-month follow-up) revealed that the mean respiratory disturbance index from 50.7 to 11.6, snoring index from 230.9 to 137.3 and the minimal oxygen saturation from 76.3 to 88.8. This study confirms that the same-stage MLG with EUPF for OSAS is a safe and effective procedure.

Original languageEnglish
Pages (from-to)501-503
Number of pages3
JournalInternational Journal of Clinical Practice
Volume59
Issue number4
DOIs
StatePublished - 04 2005
Externally publishedYes

Keywords

  • Extended uvulopalatal flap
  • Midline laser glossectomy
  • Obstructive sleep apnoea syndrome
  • Surgery

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