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《Journal of Clinical Otorhinolaryngology》 2003-03
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Predictive value of sleep nasendoscopy and the Müller maneuver in uvulopalatopharyngoplasty for the obstructive sleep apnea syndrome

LI Wuyi NI Daofeng JIANG Hong ZHANG lianshan(Department of Otolaryngology, Peking Union Hospital, Chinese Academy of Medical Sciences,Peking Union Medical College, Beijing 100730)  
Objective:To improve the therapy effect of uvulopalatopharyngoplasty (UPPP) for the obstructive sleep apnea syndrome (OSAS) with the use of sleep pharyngolaryngoscopy and the Müller maneuver to localize pharyngeal airway collapse.Method:Twenty-eight patients with OSAS were divided into two groups respectively based on findings of Müller maneuver and sleep pharyngolaryngoscopy: TypeⅠhad only oropharyngeal(soft palate and palatine tonsil )collapse and type Ⅱhad oropharyngeal collapse with hypopharyngeal collapse. All outcome of PSG after UPPP was analyzed.Result:①In TypeⅠ, the change of the average apnea hypopnea index (AHI) and the lowest SaO _2 before and after UPPP was 52.7 to 19.7(P 0.01), 63.1% to 80.0%(P 0.01) using Müller maneuver, and 48.6 to 18.7(P 0.01), 65% to 80%(P 0.01)using sleep pharyngolaryngoscopy respectively; In type Ⅱ, the change was respectively 54.7 to 38.6(P 0.05), 60.7% to 67.0%(P 0.05)using Müller maneuver, and 59 to 34(P 0.01), 59% to 71%(P 0.05)using sleep pharyngolaryngoscopy.②Surgical response rate in typeⅠwas compared with typeⅡ: 68.4% VS 22.2%(P 0.01) using Müller maneuver and 73.3% VS 30.8% (P 0.05) using sleep pharyngolaryngoscopy, respectively.Conclusion:Endoscopic pharyngeal assessment of OSAS patients has clinical value for the improvement of UPPP outcome.
【CateGory Index】: R766.9
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