gms | German Medical Science

83. 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. - 20.05.2012, Mainz

The expansion sphincter pharyngoplasty in the multi level surgery concept for the operative treatment of the obstructive sleep apnea (OSAS)

Meeting Abstract

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  • corresponding author Stefan Wenzel - Asklepios Klinik Harburg, Abt. HNO und KHC, Hamburg, Germany
  • author Kerstin Rohde - Asklepios Klinik Harburg, Abt. HNO und KHC, Hamburg, Germany
  • author Thomas Verse - Asklepios Klinik Harburg, Abt. HNO und KHC, Hamburg, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hno68

DOI: 10.3205/12hno68, URN: urn:nbn:de:0183-12hno686

Veröffentlicht: 23. Juli 2012

© 2012 Wenzel 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 vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: The tonsillectomy (TE) with uvulo-palato-pharyngoplasty (UPPP) is the standard procedure for treating soft palate and tonsils related obstructions of the upper airways. If the patient has already underwent tonsillectomy earlier this option is missing. In our opinion in these cases the expansion sphincter pharyngoplasty by Pang and Woodson is an alternative. We examined the effectivity and the agreeability of this treatment in tonsillectomied patients with moderate to severe OSAS and CPAP-incompliance.

Patients and methods: From march 2010 to november 2011 we performed 6 expansion sphincter pharyngoplasties by Pang and Woodson as a part oft he multy level surgery concept. Prior to this the site of obstruction was detected by performing a sedated endoscopy. The patients were all male with an average age of 52.5 years, they had an BMI of 31.5 kg/m2, the value on the ESS was 10.8 and the AHI was 46.9/h. Postoperatively the subjective success was mesured on a visual analgue scale (VAS) from 0–10.

Results: Postoperatively the ESS score was 8.8, the AHI was 30.4/h. On the VAS the value was 7.9. Specific complications such as bleedings or a velopharyngeal insufficiency was not seen. The need for painkillers was not higher then after TE with UPPP.

Conclusion: The expansion sphincter pharyngoplasty by Pang and Woodson in the multi level surgery concept in tonsillectomied patients with obstructions of the soft palate seems to be a reasonable option with a passable complication rate. A sedated endoscopy is recommended.