The following information was submitted:
Transactions: INTERNATIONAL JOURNAL of BIOLOGY and BIOMEDICAL ENGINEERING
Transactions ID Number: 19-549
Full Name: Ewa Olszewska
Position: Associate Professor
Age: ON
Sex: Female
Address: ul. Sklodowskiej 24 A, 15-276 Bialystok
Country: POLAND
Tel: +48 85 7468269
Tel prefix:
Fax: +48 85 7468269
E-mail address: ewaolsz@yahoo.com
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Title of the Paper: Selected surgical managements in snoring and obstructive sleep apnoea patients
Authors as they appear in the Paper: Ewa Olszewska, Justyna Rutkowska, Aneta Czajkowska, Marek Rogowski.
Email addresses of all the authors: ewaolsz@yahoo.com, rj.rutkowska@gmail.com, aneta.pewit@poczta.fm, erogowski@poczta.onet.pl
Number of paper pages: 8
Abstract: Obstructive sleep apnea syndrome (OSAS) may contribute to the development of some somatic diseases and disorders of perception and emotion. The problem often concerns multilevel decrease in airway patency. For that reason the diagnostic process and the appropriate surgical procedures are crucial to reach the best results in the treatment of OSAS. The aim of this study was to assess the efficacy of the surgical treatment in patients with OSAS. We have therefore reviewed operative findings in patients with mild, moderate and severe OSAS. A precise laryngological examination and screening polysomnography (Poly-Mesam) were performed in all patients before surgery. The patients filled in the questionnaires concerning their complaints. The results of the above examinations let to qualify patients to the appropriate surgical procedures. For this study we include patients qualified to septoplasty, laser assisted uvulopalatoplasty (LAUP), uvulopalatopharyngoplasty (UPPP!
) and radiofrequency induced thermotherapy of the tongue base (RITT). Outcome evaluation of surgery was performed on the basis of data received from follow-up laryngological examinations (in early and late postoperative treatment), selected parameters obtained from Poly–Mesam test as well as follow-up questionnaires for subjective opinion of patients performed 6 months after surgery. The improvement, defined as decreasing some sleep parameters, such as a respiratory disturbance index (RDI) more than 50%, decreasing the loudness of snoring, decreasing the number of hypopneas and better values of blood saturation we observed in most cases. After UPPP we noticed changes in retropalatal space, soft palate dimensions and uvula–posterior pharyngeal wall distance. In postoperative period we didn't observe severe complications. In some cases we found short-lived palatal deficiency after UPPP. Patients after tongue base reduction experienced sometimes discomfort and throat pain last!
ing from two to four days. In two patients we observed swelling tongu
e base which decreased in a few days. Our results indicate that surgery in OSAS contribute to normalization in some sleep parameters. In majority patients declared the subjective improvement after surgery.
Keywords: OSAS, snoring, septoplasty, uvulopalatoplasty, uvulopalatopharyngoplasty, radiofrequency induced thermotherapy.
EXTENSION of the file: .doc
Special (Invited) Session: Selected surgical managements in snoring and obstructive sleep apnoea patients
Organizer of the Session: 103-115
How Did you learn about congress: 1. Robert Bastian, prof., M.D., Ph.D. robert.bastian@bastianvoice.com; 2. Professor Charles W. Cummings: ccuming@jhmi.edu;
IP ADDRESS: 212.33.78.207
