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폐쇄성 수면무호흡증 환자에서 구개수구개피판술과 구개근절제술의 수술 결과에 대한 비교 분석
Comparative Analysis for the Surgical Outcomes of Uvulopalatal Flap and Palatal Muscle Resection in Patients with Obstructive Sleep Apnea

대한이비인후-두경부외과학회지 2011년 54권 7호 p.467 ~ p.472

이현민(Lee Hyun-Min) - 부산대학교 의학전문대학원 이비인후과학교실
최성원(Choi Sung-Won) - 부산대학교 의학전문대학원 이비인후과학교실
강대운(Kang Dae-Woon) - 부산대학교 의학전문대학원 이비인후과학교실
이정훈(Lee Jung-Hoon) - 부산대학교 의학전문대학원 이비인후과학교실
노환중(Roh Hwan-Jung) - 부산대학교 의학전문대학원 이비인후과학교실
조규섭(Cho Kyu-Sup) - 부산대학교 의학전문대학원 이비인후과학교실

Abstract

Background and Objectives :The purpose of this study was to compare the surgical outcomes of uvulopalatal flap (UPF) and palatal muscle resection (PMR) techniques in the treatment of obstructive sleep apnea (OSA).

Subjects and Method :Forty-three consecutive patients (40 men and 3 women) with OSA were included. Only patients with Fujita type I obstruction were enrolled in this study. Patients with macroglossia or retrognathia were excluded from the study. Twenty patients underwent a UPF and twenty-three patients underwent a PMR. In both groups, nasal surgery was performed if necessary. Questionnaires based on Visual Analogue Scale (VAS) about snoring, apnea, morning headache, tiredness, daytime sleepiness and Epworth Sleepiness Scale (ESS) were analyzed before and after each surgical treatment. Preoperative and postoperative polysomnography (PSG) were completed by every patient.

Results:In UPF group, every aspect of VAS except morning headache was significantly improved after surgery. In PMR group, every aspect of VAS and ESS were significantly improved after surgery. Comparing the surgical outcomes between two groups, every VAS and ESS showed much better result in PMR than UPF group. In both UPF and PMR group, the mean apnea-hypopnea index decreased significantly after surgery. However, there’s no significant difference between two groups in the PSG findings.

Conclusion:PMR could be a better surgical technique than UPF with respect to subjective outcome although both UPF and PMR are effective surgical techniques for the treatment of OSA with Fujita type I obstruction.

키워드

Obstructive sleep apnea, Soft palate, Operative surgical procedures

KMID : 0361020110540070467

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

PMR could be a better surgical technique than UPF

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

10.3342/kjorl-hns.2011.54.7.467

KCD코드

ICD 03

건강보험코드

폐쇄성 수면무호흡증 환자에서 구개수구개피판술과 구개근절제술의 수술 결과에 대한 비교 분석 Comparative Analysis for the Surgical Outcomes of Uvulopalatal Flap and Palatal Muscle Resection in Patients with Obstructive Sleep Apnea

Abstract

키워드

폐쇄성 수면무호흡증 환자에서 구개수구개피판술과 구개근절제술의 수술 결과에 대한 비교 분석
Comparative Analysis for the Surgical Outcomes of Uvulopalatal Flap and Palatal Muscle Resection in Patients with Obstructive Sleep Apnea