Modified uvulopalatopharyngoplasty and coblation channeling of the tongue for obstructive sleep apnea: a multi-centre Australian trial
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MacKay, Stuart G
Carney, Andrew Simon
Woods, Charmaine Michelle
Antic, Nicholas Alexander
McEvoy, Ronald Douglas
Jones, Andrew T
Hobson, Jonathan C
Robinson, Sam P
American Academy of Sleep Medicine
Copyright © 2013 Associated Professional Sleep Societies, LLC. Published by American Academy of Sleep Medicine.
Associated Professional Sleep Societies, LLC.
STUDY OBJECTIVES: To investigate the surgical outcomes and efficacy of modified uvulopalatopharyngoplasty (mod UPPP) and Coblation channelling of the tongue (CCT) as a treatment for obstructive sleep apnea (OSA). METHODS: Adult patients with simple snoring or obstructive sleep apnea were treated with combined modified UPPP, bilateral tonsillectomy, and CCT (N = 48). Full polysomnography was performed preoperatively and 3 months postoperatively. Postoperative clinical assessment, sleep questionnaires, and patient demographics including body mass index were compared to preoperative data. All polysomnograms were re-scored to AASM recommended criteria by 2 sleep professionals. RESULTS: The preoperative AHI (median and interquartile range) of 23.1 (10.4 to 36.6) was lowered to a postoperative AHI of 5.6 (1.9 to 10.4) (p < 0.05). The Epworth Sleepiness Scale score fell from 10.5 (5.5 to 13.5) to 5.0 (3.09 to 9.5) (p < 0.05). Morbidity of the surgery was low, with no long-term complications recorded. CONCLUSIONS: Modified UPPP combined with CCT is a highly efficacious intervention for OSA with minimal morbidity. It should be considered for individuals who fail or are intolerant of CPAP or other medical devices.
Author manuscript freely available online at PubMed Central <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544378/>
Sleep apnea, Sleep study, Modified uvulopalatopharyngoplasty, Coblation channeling
MacKay, S.G., Carney, A., Woods, C., Antic, N., McEvoy, R., Chia, M., et al. (2013). Modified uvulopalatopharyngoplasty and coblation channeling of the tongue for obstructive sleep apnea: a multi-centre Australian trial. Journal of Clinical Sleep Medicine, 9(2) pp. 117-124.