15-year efficacy of uvulopalatopharyngoplasty based on objective and subjective data

Abstract

Conclusions: This follow-up showed a stable and significant decrease in median oxygen desaturation index 4% (ODI₄) values over the years. Approximately two-thirds of the patients fulfilled the success criteria (ODI₄ reduction of 50% and <20) after 15 years. A majority had improved/cured excessive daytime sleepiness (EDS) and were satisfied. No increased mortality rate was seen. Objectives: To evaluate sleep apnoea recordings and symptoms in patients with obstructive sleep apnoea syndrome 15 years after uvulopalatopharyngoplasty (UPPP) compared to baseline and previous follow-ups. Methods: This was a non-randomized, prospective intervention study on 50 patients who underwent UPPP during 1985–88. Their initial median age was 49 years (range 38–71) and ODI₄ was 26.5 (4–82). Results: In all, 13 patients had died; 26 patients underwent sleep apnoea recordings. Median ODI₄ had decreased from 26.5 (range 4–82) to 8.5 (0–60), p < 0.01, a mean reduction of 52%; 65% of patients achieved the success criteria. One-third was objectively categorized as non-snorers. Median body mass index was unchanged. The questionnaires were answered by 32 of 37 patients; 88% reported improved or cured EDS and 78% were satisfied. Pharyngeal disturbances ratings were low. The standardized mortality rate did not differ from the general Swedish population.

Keywords::

• Sleep apnoea
• obstructive sleep apnoea
• OSA
• obstructive sleep apnoea syndrome
• OSAS
• pharyngeal surgery

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Erratum

Acknowledgments

We are indebted to Britt Nordlander (MD, Assoc. Prof.) and the late Håkan Larsson (MD, PhD) who initiated this study in 1985, and to Fredrik Granath (Assoc. Prof.) for statistical assistance. This work was supported by grants from the Swedish Association of Sleep Medicine and Sleep Research and the Acta Otolaryngologica Foundation.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.