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  • Title: Tonsillectomy with uvulopalatopharyngoplasty and tongue base surgery for treatment of obstructive sleep apnea.
    Author: Mahakit P, Siriputhorn P, Chalermwattanachai T.
    Journal: J Med Assoc Thai; 2012 May; 95 Suppl 5():S111-5. PubMed ID: 22934456.
    Abstract:
    OBJECTIVE: The present study aimed to evaluate the efficacy of tonsillectomy with UPPP and tongue base surgery in the treatment of moderate to severe OSA. STUDY DESIGN: The present study employed a cross sectional design among 18 OSA patients undergoing surgery by a single surgeon from 2005 to 2009. The follow-up period was 25 to 37 months. Data included BMI, ESS and full night PSG recorded to compare pre- and post-operation. RESULTS: In all, 14 of 18 patients (77.8%) carried out the reduction of AHI 50% or lower than 20, postoperatively, defined as the success group. Mean ESS was decreased from 11.11 to 4.77 (p < 0.001). Most patients were satisfied with their postoperative results and reduction of subjective symptoms. CONCLUSION: A combined surgery in moderate and severe OSA had a surgical success rate of 77.8% in short and long term pos-toperation.
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