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The Effect of Uvulopalatopharyngoplasty with Tonsillectomy in Patients with Obstructive Sleep Apnea

  • Mohammad Hossein Baradaranfar
  • Mohsen Edalatkhah
  • Mohammad Hossein Dadgarnia
  • Saeid AtighechiEmail author
  • Nasim Behniafard
  • Abbas Mirvakili
  • Abolhassan Halvani
  • Amin Baradaranfar
  • Touhid Emami Meybodi
Original Article

Abstract

In the current study, we evaluated the effectiveness of uvulopalatopharyngoplasty (UPPP) in treatment of patients with obstructive sleep apnea (OSA) syndrome. All patients were previously received medical treatment but their symptoms did not resolve. A prospective study was conducted in Shahid Sadoughi Hospital in Yazd, Iran. Several sleep indices were evaluated using polysomnography (PSG) in all patients before performing UPPP and tonsillectomy. All patients were visited 6 months after surgery and PSG was repeated to assess the efficacy of surgical intervention. A total of 48 patients were enrolled and underwent UPPP and tonsillectomy. Six months after surgery, significant improvements were observed in all indices of sleep (apnea–hypopnea index, respiratory distress index, arterial oxygen saturation, and snoring index). The score of daytime sleepiness (assessed by Epworth score) was also improved. According to the result of this study, using UPPP surgery in patients with OSA can cause symptoms improvement in 64 % of cases. It seems that Muller’s maneuver test has assisted in briefly increasing success rate after surgery, though to prove this claim; other studies should be designed and performed in a randomized clinical trial.

Keywords

Obstructive sleep apnea Tonsillectomy Polysomnography Apnea Hypopnea Snoring 

Notes

Acknowledgements

No financial support was provided for this study. No author has any financial interest in the companies or products reported in this paper or has any financial disclosures related to this work.

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Copyright information

© Association of Otolaryngologists of India 2014

Authors and Affiliations

  • Mohammad Hossein Baradaranfar
    • 1
  • Mohsen Edalatkhah
    • 1
  • Mohammad Hossein Dadgarnia
    • 1
  • Saeid Atighechi
    • 1
    Email author
  • Nasim Behniafard
    • 1
  • Abbas Mirvakili
    • 1
  • Abolhassan Halvani
    • 2
  • Amin Baradaranfar
    • 3
  • Touhid Emami Meybodi
    • 4
  1. 1.Rhinology Research Center, Department of Otolaryngology Head and Neck Surgery, Shahid Sadoughi HospitalShahid Sadoughi University of Medical SciencesYazdIran
  2. 2.Department of Internal MedicineShahid Sadoughi University of Medical Sciences and Health ServicesYazdIran
  3. 3.Tehran University of Medical SciencesTehranIran
  4. 4.Shahid Sadoughi University of Medical SciencesYazdIran

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