open access

Vol 75, No 2 (2007)
ORIGINAL PAPERS
Published online: 2007-06-03
Submitted: 2013-02-22
Get Citation

Failure of uvulopalatopharyngoplasty (UPPP) in severe obstructive sleep apnoea (OSA)

Robert Pływaczewski, Michał Bednarek, Luiza Jonczak, Justyna Czerniawska, Dorota Górecka, Paweł Śliwiński
Pneumonol Alergol Pol 2007;75(2):121-128.

open access

Vol 75, No 2 (2007)
ORIGINAL PAPERS
Published online: 2007-06-03
Submitted: 2013-02-22

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.
Get Citation

Keywords

UPPP; obstructive sleep apnoea; PSG; obesity; males

About this article
Title

Failure of uvulopalatopharyngoplasty (UPPP) in severe obstructive sleep apnoea (OSA)

Journal

Advances in Respiratory Medicine

Issue

Vol 75, No 2 (2007)

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

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl