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CO2 Laser palatoplasty: early results

Published online by Cambridge University Press:  29 June 2007

D. R. Ingrams*
Affiliation:
Royal National Throat Nose and Ear Hospital, 330-336 Gray's Inn Road, London, UK
P. D. R. Spraggs
Affiliation:
Royal National Throat Nose and Ear Hospital, 330-336 Gray's Inn Road, London, UK
M. B. Pringle
Affiliation:
Royal National Throat Nose and Ear Hospital, 330-336 Gray's Inn Road, London, UK
C. B. Croft
Affiliation:
Royal National Throat Nose and Ear Hospital, 330-336 Gray's Inn Road, London, UK
*
Address for correspondence: Mr D. R. Ingrams, 39 Fernside Road, Balham, London SW12 8LN.

Abstract

It is now widely accepted that snoring causes significant social dysfunction. In the absence of obstructive sleep apnoea syndrome, palatal surgery offers a very good chance of eliminating or reducing snoring. The traditional operation of uvulopalatopharyngoplasty remains the ‘gold standard’, but may be complicated by velopharyngeal incompetence, severe post-operative pain and even nasopharyngeal stenosis. A newer technique to reduce snoring caused by palatal flutter by using a neodymnium: yttrium aluminium garnet laser to stiffen the soft palate has been introduced recently by another unit. We show that this procedure can be carried out using a CO2 laser, and present the initial results of the first 29 patients operated on at The Royal National Throat, Nose and Ear Hospital.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Carenfelt, C. (1991) Laser uvulopalatoplasty in treatment of habitual snoring. Annals of Otology, Rhinology and Laryngology 100: 451454.CrossRefGoogle ScholarPubMed
Crestinu, J. M. (1991) Intrapalatine resection (IPR) in the treatment of the sleep apnea and snoring. Plastic and Reconstructive Surgery 87: 467469.CrossRefGoogle ScholarPubMed
Croft, C. B., Golding-Wood, D. G. (1990) Uses and complications of uvulopalatopharyngoplasty. Journal of Laryngology and Otology 104: 871875.CrossRefGoogle ScholarPubMed
Croft, C. B., Pringle, M. (1991) Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clinical Otolaryngology 16: 504509.CrossRefGoogle ScholarPubMed
Ellis, P. D. M. (1994) Laser palatoplasty for snoring due to palatal flutter: a further report. Clinical Otolaryngology 19: 350351.CrossRefGoogle ScholarPubMed
Ellis, P. D., Harries, M. L., Williams, J. E., Shneerson, J. M. (1992) The relief of snoring by nasal surgery. Clinical Otolaryngology 17: 525527.CrossRefGoogle ScholarPubMed
Ellis, P. D., Williams, J. E., Shneerson, J. M. (1993) Surgical relief of snoring due to palatal flutter: a preliminary report. Annals of the Royal College of Surgeons of England 75: 286290.Google ScholarPubMed
Kamami, Y. V. (1990) Laser CO2 for snoring. Preliminary results. Acta Oto-Rhino-Laryngologica Belgica 44: 451456.Google ScholarPubMed
Lindholm, R. N., Lowry, L. D. (1990) An office treatment for snoring. Ear, Nose and Throat Journal 69: 98, 101.Google ScholarPubMed
O'Leary, M. J., Miliman, R. P. (1991) Technical modifications of uvulopalatopharyngoplasty: the role of the palatopharyngeus. Laryngoscope 101: 13321335.CrossRefGoogle ScholarPubMed
Pringle, M. B., Croft, C. B. (1993) A comparison of sleep nasendoscopy and the Muller manoeuvre. Clinical Otolaryngology 16: 559562.CrossRefGoogle Scholar
Sharp, J. F., Jalaludin, M., Murray, J. A., Maran, A. G. (1990) The uvulopalatopharyngoplasty operation: the Edinburgh experience. Journal of the Royal Society of Medicine 83: 569570.CrossRefGoogle ScholarPubMed
Wennmo, C., Olsson, P., Flisberg, K., Paulsson, B., Luttrup, S. (1992) Treatment of snoring – with and without carbon dioxide laser. Acta Oto-Laryngologica – (suppl) 492: 152155.CrossRefGoogle ScholarPubMed
Woodhead, C. J., Allen, M. B. (1994) Nasal surgery for snoring. Clinical Otolaryngology 19: 4144.CrossRefGoogle ScholarPubMed