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Failure of uvulopalatopharyngoplasty (UPPP) in severe obstructive sleep apnoea (OSA)
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Abstract
Introduction: Uvulopalatopharyngoplasty (UPPP) is the most frequent surgical procedure in obstructive sleep apnoea (OSA) treatment. The aim of this study was to assess effects of UPPP in OSA subjects admitted to our Sleep Laboratory.
Material and methods: We studied 22 mostly obese males (mean BMI = 33.1 ± 4 kg/m2) in mean age 51.7 ± 9.7 years. Polysomnography or polygraphy (Poly-Mesam) was performed 28.5 ± 30.5 month after UPPP.
Results: Sleep studies after UPPP revealed severe OSA in most of the patients - mean AHI/RDI = 53 ± 33.2, mean overnight SaO2 = 88.1 ± 5.3%. Subjects spent near half night in desaturation below 90% (T90 = 46.8 ± 33.8%) and presented daytime somnolence (Epworth score: 14.3 ± 4.8 points). Only in 3 subjects (13.6%), UPPP was successful (AHI/RDI ≤ 10).
Conclusions: Our study confirmed previous data that UPPP is ineffective in majority of obese subjects with severe OSA.
Abstract
Introduction: Uvulopalatopharyngoplasty (UPPP) is the most frequent surgical procedure in obstructive sleep apnoea (OSA) treatment. The aim of this study was to assess effects of UPPP in OSA subjects admitted to our Sleep Laboratory.
Material and methods: We studied 22 mostly obese males (mean BMI = 33.1 ± 4 kg/m2) in mean age 51.7 ± 9.7 years. Polysomnography or polygraphy (Poly-Mesam) was performed 28.5 ± 30.5 month after UPPP.
Results: Sleep studies after UPPP revealed severe OSA in most of the patients - mean AHI/RDI = 53 ± 33.2, mean overnight SaO2 = 88.1 ± 5.3%. Subjects spent near half night in desaturation below 90% (T90 = 46.8 ± 33.8%) and presented daytime somnolence (Epworth score: 14.3 ± 4.8 points). Only in 3 subjects (13.6%), UPPP was successful (AHI/RDI ≤ 10).
Conclusions: Our study confirmed previous data that UPPP is ineffective in majority of obese subjects with severe OSA.
Keywords
UPPP; obstructive sleep apnoea; PSG; obesity; males
About this articleTitle
Failure of uvulopalatopharyngoplasty (UPPP) in severe obstructive sleep apnoea (OSA)
Journal
Advances in Respiratory Medicine
Issue
Article type
Research paper
Pages
121-128
Published online
2007-06-03
Bibliographic record
Pneumonol Alergol Pol 2007;75(2):121-128.
Keywords
UPPP
obstructive sleep apnoea
PSG
obesity
males
Authors
Robert Pływaczewski
Michał Bednarek
Luiza Jonczak
Justyna Czerniawska
Dorota Górecka
Paweł Śliwiński