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《Journal of Otolaryngology and Ophthalmology of Shandong University》 2006-03
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Hyoid suspension and uvolopalatopharyngoplasty in treatment of severe obstructive sleep apnea hypopnea syndrome

ZHANG Qing-quan,SONG Xi-cheng,ZHANG Hua,SUN Yan,WANG Qiang,WANG Yong-fu, ZHANG Tian-zhen,ZHU Yu-hong,WANG Xi-wen(Department of Otorhinolaryngology-Head and Neck Surgery,Yuhuangding Hospital of Medical School of Qingdao University,Yantai 264000,Shandong,China)  
Objective: To discuss the method and therapeutic effect of hyoid suspension in association with uvolopalatopharyngoplasty(UPPP) in treatment of severe obstructive sleep apnea hypopnea syndrome(OSAHS).Methods: Improved hyoid suspension in association with UPPP was performed in 22 patients with severe OSAHS.The gap of glossopharyngeum level and polysomnogram(PSG) were examined preand post-operatively in 17 patients.Results: The above two PSG indexes of the 6 and 12 months improved significantly(P0.01).The telorism of tongue and pharynx was 5~9 mm(mean 7.06 mm) before surgery and reached 9~13 mm(mean 11 mm) after surgery.Snoring and sleep apnea disappeared or lessened,with the disappearance or decrease of lethargy at daytime.According to the assessment guidelines,the response rate was 100% and 70% 6 months and 1 year after the operation,but the curative and response rates varied. Conclusion: Hyoid suspension in association with UPPP has the advantages of simple operation,less hospital stay and cost,and ideal effect.
【CateGory Index】: R766.7
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