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Palatal Implants for Persistent Snoring and Mild Obstructive Sleep Apnea After Laser-Assisted Uvulopalatoplasty

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초록

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)

  1. Nelson B. Powell, "Contemporary Surgery for Obstructive Sleep Apnea Syndrome", Clinical and Experimental Otorhinolaryngology, 2(3), pp.107~114 (2009), 대한이비인후과학회
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  4. 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)
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  6. O’Connor-Reina C, "Snoring surgery with palatal implants after failed uvulopalatopharyngoplasty", Eur Arch Otorhinolaryngol, 265(6), pp.687~693 (2008)
  7. Friedman M, "Clinical staging for sleep-disordered breathing", Otolaryngol Head Neck Surg, 127(1), pp.13~21 (2002)
  8. 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)
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  11. Peppard PE, "Longitudinal study of moderate weight change and sleep-disordered breathing", JAMA, 284(23), pp.3015~3021 (2000)

관련 논문AI추천

Preliminary Findings from Our Experience in Anterior Palatoplasty for the Treatment of Obstructive Sleep ApneaAndrea Marzetti, Francesco Maria Passali, Massimiliano Tedaldi대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2013 · 제6권 제1호Effect of Isolated Uvulopalatopharyngoplasty on Subjective Obstructive Sleep Apnea Symptoms최혁, 권순영, 김태훈, 이상학, 이승훈, 이흥만, 전영준, 최지호대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2013 · 제6권 제3호Contemporary Surgery for Obstructive Sleep Apnea SyndromeNelson B. Powell대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2009 · 제2권 제3호A Prospective Study of the Surgical Outcome of Simple Uvulopalatopharyngoplasty (UPPP), UPPP Combined With Genioglossus Advancement or Tongue Base Advancement for Obstructive Sleep Apnea Hypopnea Syndrome Patients With Multilevel ObstructionCaiyun Zhang, Hongliang Zheng, Minhui Zhu, Shicai Chen, Siwen Xia, Song Shi, Yanghui Xia대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2015 · 제8권 제2호폐쇄성 수면무호흡환자에서 확대 구개수구개피판을 이용한 치험례명훈, 김명진, 김성민, 김지연, 서병무, 이종호, 정필훈, 최진영, 황순정대한구강악안면외과학회 · 대한구강악안면외과학회지2011 · 제37권 제1호폐쇄성 수면 무호흡증의 외과적 접근이의룡대한치과의사협회 · 대한치과의사협회지2021 · 제59권 제12호

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