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Comparison between short-term and long-term post-operative evaluation of sleep apnoea after uvulopalatopharyngoplasty

Published online by Cambridge University Press:  29 June 2007

Shao-Jung Lu ,
Shyue-Yih Chang  and
Guang-Ming Shiao
Shao-Jung Lu
Affiliation:
Departments of Otolaryngology, Veterans General Hospital, National Yang Ming Medical College, Taipei, Taiwan.
Shyue-Yih Chang*
Affiliation:
Departments of Otolaryngology, Veterans General Hospital, National Yang Ming Medical College, Taipei, Taiwan.
Guang-Ming Shiao
Affiliation:
Departments of Chest Medicine, Veterans General Hospital, National Yang Ming Medical College, Taipei, Taiwan.
*
Address for correspondence: Professor Shyue-Yih Chang, M.D., Department of Otolaryngology. National Yang Ming Medical College. Veterans General Hospital, Taipei, Taiwan. Fax: 011-886-2-8757331
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Abstract

For a long time uvulopalatopharyngoplasty (UPPP) has been used to treat the obstructive sleep apnoea syndrome (OSAS). The diverse surgical effects, the inadequate understanding of operation effect consistency, the possibility of disease progression, and the few reported papers for long-term evaluation after UPPP aroused our interest in designing this study. Fifteen OSAS patients who had undergone UPPP with pre-operative, initial post-operative and long-term post-operative polysomnographic studies were included in this study. Long-term post-operative polysomnography was undertaken more than five years after surgery. The polysomnographic evaluations included respiratory disturbance index (RD I), duration of saturation SaO2 <85 per cent (DOS), and the lowest O2 saturation (LOS). Amongst them, 10 patients with initial post-operative RDI reduction > 50 per cent were considered responders. In these responders, the long-term follow-up results of all three parameters showed improvement compared to the preoperative data. In a comparison between the initial and long-term post-operative sleep study results, LOS and DOS showed no significant difference. However, the long-term post-operative RDI result became significantly worse. More than 80 per cent of all cases had subjective symptomatic improvement in the long-term post-operative evaluation. The subjective improvement after operation is not adequately correlated to the polysomnographic result. We suggest that long-term follow-up for patients after UPPP is necessary.

Keywords

Sleep apnoea syndromesUvulasurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 4 , April 1995 , pp. 308 - 312
Copyright
Copyright © JLO (1984) Limited 1995

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