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Successful treatment of oropharyngeal obstructive sleep apnoea with tonsillectomy and limited uvulopalatopharyngoplasty using a pillar apposition and lateralisation technique

   
@article{JTD6514,
	author = {Gareth Lloyd and Simone Hadjisymeou and Elfy Chevretton and Guy Leschziner},
	title = {Successful treatment of oropharyngeal obstructive sleep apnoea with tonsillectomy and limited uvulopalatopharyngoplasty using a pillar apposition and lateralisation technique},
	journal = {Journal of Thoracic Disease},
	volume = {8},
	number = {2},
	year = {2016},
	keywords = {},
	abstract = {strong>Background: Obstructive sleep apnoea (OSA) is a significant public health problem affecting 2–4% of the UK population. We describe our surgical technique for treating ‘oropharyngeal OSA’ and determine its effectiveness based on pre- and post-operative data from our sleep disorders unit. We include subgroup analysis for patients with a pre-operative body mass index (BMI) ≥30 kg/m2.
Methods: A retrospective case series of patients undergoing tonsillectomy and limited uvulopalatopharyngoplasty (UPPP) for treatment of oropharyngeal OSA. Data collected pre- and post-operatively include BMI, Epworth Sleepiness Score (ESS), overnight pulse oximetry (3% and 4% SpO2 dip rates per hour, minimum SpO2, mean SpO2) and use of continuous positive airway pressure (CPAP) device. Paired t-tests were used to calculate statistical significance.
Results: Twenty-seven patients (22 male) were analysed. Mean age 44.4 years, mean pre-op BMI 31.6 kg/m2 (52% had a BMI ≥30 kg/m2). Mean time from surgery to post-op sleep study is 9.8 months. Overall, mean ESS improved from 11.9 to 8.6 (P},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/6514}
}