Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-10T13:34:42.923Z Has data issue: false hasContentIssue false

Uvulopalatopharyngoplasty: the Leicester experience

Published online by Cambridge University Press:  29 June 2007

A. J. N. Prichard*
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary, Leicester General Hospital, Leicester
J. Marshall
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary, Leicester General Hospital, Leicester
A. Ahmed
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary, Leicester General Hospital, Leicester
R. S. A. Thomas
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary, Leicester General Hospital, Leicester
C. D. Hanning
Affiliation:
The Sleep Disorders Clinic, Leicester General Hospital, Leicester.
*
Mr A. J. N. Prichard, Department of Otolaryngology, Freeman Hospital, High Heaton, Newcastle-upon-Tyne NE7 7DN..

Abstract

Twenty-nine patients undergoing uvulopalatopharyngoplasty (UPPP) for snoring are presented. Ninety per cent expressed an overall improvement in their symptoms: 21 per cent had complete abolition of snoring. Postoperative complications included nasal regurgitation of food/fluids and hyponasal speech development.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Sleep Disorders Association (1990) International Classification of Sleep Disorders: Diagnostic and Coding Manual, American Sleep Disorders Association, Rochester, Minnesota, p 195.Google Scholar
Coleman, R. F., Sly, D. E. (1991) Preoperative and postoperative voice analysis of uvulopalatopharyngoplasty patients. Archives of Otolaryngology, Head and Neck Surgery 117: 13451349.CrossRefGoogle ScholarPubMed
Conway, W., Fujita, S., Zorick, F. (1985) Uvulopalatopharyngoplasty: one-year follow-up. Chest 88: 385387.CrossRefGoogle Scholar
Davies, R. J. O., Ali, N. J., Stradling, J. R. (1991) Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome. British Medical Journal 302: 101105.Google Scholar
Ellis, P. D. M., Harries, M. L. L., Ffowcs Williams, J. E., Shneerson, J. M. (1992) The relief of snoring by nasal surgery. Clinical Otolaryngology 17: 525527.CrossRefGoogle ScholarPubMed
Fugita, S., Conway, W., Zorich, F., Roth, T. (1981) Surgical correction of anatomic abnormalities in obstructive sleep apnoea syndrome: uvulopalatopharyngoplasty. Otolaryngology-Head and Neck Surgery 89: 923934.CrossRefGoogle Scholar
Gleeson, M. J., Youlten, L. J., Shelton, D. M., Siodlak, M. Z., Eiser, N. M, Wengraf, C. L. (1986) Assessment of nasal airway patency: a comparison of four methods. Clinical Otolaryngology 11: 99107.CrossRefGoogle ScholarPubMed
Golding-Wood, D. G., Brockbank, M. J., Swanston, A. R., Croft, C. B. (1990) Assessment of chronic snorers. Journal of the Royal Society of Medicine 83: 363367.CrossRefGoogle ScholarPubMed
Hanning, C. D., Ogden, B., Parry, P. (1986) The value of a simple inductance plethysmograph in sleep monitoring. Bulletin of European Physiopathology of Respiration 22 (suppl. 8): 175.Google Scholar
He, J., Kryger, M. H., Zorick, F. J., Conway, W., Roth, T. (1988) Mortality and apnoea index in obstructive sleep apnoea (experience in 385 male patients). Chest 94: 914.CrossRefGoogle ScholarPubMed
Ikematsu, T. (1964) Study of snoring, fourth report. Therapy. Journal of Oto-Rhino-Laryngology 64: 434435.Google Scholar
Issa, F. G., Sullivan, C. E. (1984) Upper airway closing pressures in snorers. Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology 57: 528535.CrossRefGoogle ScholarPubMed
Kuhlo, W., Doll, E., Fran, M. (1969) Exfolgreiche behandlung eines Pickwick Syndrome durch eine dauertrichael canule. Deutsche Medische Wochenschrift 94: 1286.CrossRefGoogle Scholar
Lugaresi, E., Cirignotta, F., Coccagna, G., Piana, C. (1980) Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 3: 221224.CrossRefGoogle ScholarPubMed
Lugaresi, E., Modini, S., Zucconi, M., Montagna, P., Cirignotta, F. (1983) Staging of heavy snorers' disease. A proposal. Bulletin of European Physiopathology and Respiration 19: 590594.Google ScholarPubMed
Lusk, R. P. (1986) Accurate measurement of soft palate resection during uvulopalatopharyngoplasty. Laryngoscope 96: 697698.CrossRefGoogle Scholar
Lyberg, T., Krogstad, O., Djupesland, G. (1989) Cephalometric analysis in patients with obstructive sleep apnoea syndrome. Journal of Laryngology and Otology 103: 293297.CrossRefGoogle ScholarPubMed
Mauer, K. W., Staabs, B. A., Olsen, K. D. (1983) Upper airway obstruction and disordered nocturnal breathing in children. Mayo Clinic Proceedings 58: 349353.Google ScholarPubMed
Moran, W. B., Orr, W. C., Fixley, M. S., Wittels, E. E. (1984) Non-hypersomnolent patients with obstructive sleep apnoea. Otolaryngology-Head and Neck Surgery 92: 608610.CrossRefGoogle Scholar
Moran, W. B., Orr, W. C. (1985) Diagnosis and management of obstructive sleep apnoea: Part 2. Archives of Otolaryngology 111: 650658.CrossRefGoogle Scholar
Rees, J. (1991) Snoring: tackle obesity, smoking and alcohol consumption first. British Medical Journal 302: 860861.CrossRefGoogle Scholar
Riley, R. W., Powell, N., Guilleminault, C. (1987) Current surgical concepts for treating obstructive sleep apnoea syndrome. Journal of Oral and Maxillofacial Surgery 45: 149157.CrossRefGoogle Scholar
Sharp, J. F., Jalaludin, M., Murray, J. A. M., Maran, A. G. D. (1990) The uvulopalatopharyngoplasty operation: the Edinburgh experience. Journal of the Royal Society of Medicine 83: 569570.CrossRefGoogle ScholarPubMed
Shepard, J. W., Thawley, S. E. (1989) Evaluation of the upper airway by computerized tomography in patients undergoing uvulopalatopharyngoplasty for obstructive sleep apnoea. American Review of Respiratory Disease 140: 711716.CrossRefGoogle Scholar
Sher, A. E., Thorpy, M. J., Shprintzen, R. J., Spielman, A. J., Burack, B., McGregor, P. A. (1985) Predictive value of Muller manoeuvre in selection of patients with obstructive sleep apnoea syndrome. Laryngoscope 95: 14831487.CrossRefGoogle Scholar
Simmons, F. B., Guilleminault, C., Miles, L. E. (1984) The palatopharyngoplasty operation for snoring and sleep apnoea. An interim report. Otolaryngology-Head and Neck Surgery 92: 375380.CrossRefGoogle ScholarPubMed
Skatvedt, O. (1992) Continuous pressure measurements in the pharynx and oesophagus during sleep in patients with obstructive sleep apnoea syndrome. Laryngoscope 102: 12751280.CrossRefGoogle Scholar
Stradling, J. R., Crosby, J. H. (1990) Relation between systemic hypertension and sleep hypoxaemia or snoring: analysis in 748 men drawn from general practice. British Medical Journal 300: 7578.CrossRefGoogle ScholarPubMed