Palatal Implants for Persistent Snoring and Mild Obstructive Sleep Apnea After Laser-Assisted Uvulopalatoplasty
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Laser-assisted uvulopalatoplasty (LAUP) was widely performed in 1990s as a surgical therapeutic procedure to improve snor- ing or mild obstructive sleep apnea (OSA). However, LAUP is not currently recommended as a treatment for OSA because the evidence for its efficacy is insufficient. Little is known about alternative minimally invasive surgery in patients who refuse continuous positive airway pressure or oral appliance after failed LAUP. We present a case of successful surgical treatment of persistent snoring and mild OSA with palatal implants after LAUP. This case suggests that palatal implants may be offered as an alternative surgical procedure for selective patients with persistent or recurrent snoring or mild OSA after LAUP.
Abstract
Laser-assisted uvulopalatoplasty (LAUP) was widely performed in 1990s as a surgical therapeutic procedure to improve snor- ing or mild obstructive sleep apnea (OSA). However, LAUP is not currently recommended as a treatment for OSA because the evidence for its efficacy is insufficient. Little is known about alternative minimally invasive surgery in patients who refuse continuous positive airway pressure or oral appliance after failed LAUP. We present a case of successful surgical treatment of persistent snoring and mild OSA with palatal implants after LAUP. This case suggests that palatal implants may be offered as an alternative surgical procedure for selective patients with persistent or recurrent snoring or mild OSA after LAUP.
참고문헌 (11)
- Nelson B. Powell, "Contemporary Surgery for Obstructive Sleep Apnea Syndrome", Clinical and Experimental Otorhinolaryngology, 2(3), pp.107~114 (2009), 대한이비인후과학회
- Kamami YV, "Laser CO2 for snoring: preliminary results", Acta Otorhinolaryngol Belg, 44(4), pp.451~456 (1990)
- Kamami YV, "Outpatient treatment of snoring with CO2 laser: laser-assisted UPPP", J Otolaryngol, 23(6), pp.391~394 (1994)
- Aurora RN, "Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults", Sleep, 33(10), pp.1408~1413 (2010)
- Friedman M, "Palatal stiffening after failed uvulopalatopharyngoplasty with the Pillar Implant System", Laryngoscope, 116(11), pp.1956~1961 (2006)
- O’Connor-Reina C, "Snoring surgery with palatal implants after failed uvulopalatopharyngoplasty", Eur Arch Otorhinolaryngol, 265(6), pp.687~693 (2008)
- Friedman M, "Clinical staging for sleep-disordered breathing", Otolaryngol Head Neck Surg, 127(1), pp.13~21 (2002)
- Ferguson KA, "A randomized trial of laser-assisted uvulopalatoplasty in the treatment of mild obstructive sleep apnea", Am J Respir Crit Care Med, 167(1), pp.15~19 (2003)
- Metes A, "Site of airway obstruction in patients with obstructive sleep apnea before and after uvulopalatopharyngoplasty", Laryngoscope, 101(10), pp.1102~1108 (1991)
- Woodson BT, "Manometric and endoscopic localization of airway obstruction after uvulopalatopharyngoplasty", Otolaryngol Head Neck Surg, 111(1), pp.38~43 (1994)
- Peppard PE, "Longitudinal study of moderate weight change and sleep-disordered breathing", JAMA, 284(23), pp.3015~3021 (2000)
