gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Radiofrequency Assisted Uvulopalatoplasty (RF-UPP) in the Treatment of Primary Snoring

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno122

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno122.shtml

Veröffentlicht: 8. August 2007

© 2007 Stuck et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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Objectives: Despite its minimally invasive character and its documented superiority over placebo, clinical efficacy of standard radiofrequency surgery of the soft palate in primary snoring is limited; a sufficient reduction in snoring intensity is only rarely achieved. In particular, excessive soft tissue at the palatal arches (webbing) and uvula hyperplasia are common occurrences that cannot be addressed with standard RF surgery.

Methods: 20 patients with primary snoring (RDI<15, BMI<35) received two sessions of combined radiofrequency (RF) procedures at the soft palate, consisting of standard bipolar RF-surgery (Celon) and RF-assisted resection of excessive soft tissue (Celon ProCut), leaving the palatal muscles intact. Snoring was assessed with visual analogues scales (VAS) by the bed-partner and postoperative pain was documented with a patient diary (VAS).

Results: Preoperative snoring scores could be reduced statistically significantly from 8.4±1.7 to 3.7±2.3 after the first and 1.2±1.1 after the second treatment session. Postoperative pain levels of 6.2±3.2 at day 1 decreased to 2.5±2.6 at day 7 after the first session and from 3.7±3.0 at day 1 to 0.4±0.7 at day 7 after the second session. Pain killers were administered for a mean of 1.9±2.3 days. Complications did not occur; no patient needed additional treatment for snoring.

Discussion: Radiofrequency assisted uvulopalatoplasty (RF-UPP) is highly effective in the treatment of snoring. The RF-assisted resection of excessive soft tissue significantly increases the efficacy and enlarges the therapeutic spectrum of RF-surgery of the soft palate.