Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome.

Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Research Abstract Details 

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Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Abstract Text:

Chikaya Hattori,Tadao Nishimura,Kenji Kawakatsu,Munenori Hayakawa,Kenji Suzuki,

Uvulopalatopharyngoplasty (UPPP) and nasal continuous positive airway pressure (n-CPAP) are used for the treatment of obstructive sleep apnea syndrome (OSAS). Although OSAS results from an abnormality of the pharynx, very little research has been carried out regarding the selection of UPPP or n-CPAP according to the type of abnormality. We performed n-CPAP titration before and after surgery, compared the treatment methods and evaluated the effect of the medical therapy. A sleep polygraph was recorded on the first night of admission and patients diagnosed with OSAS underwent n-CPAP titration on the second night. The blocked region was identified by means of endoscopic examination. A couple of months after surgery, polysomnography was repeated to determine the effect of surgery and the pressure level during n-CPAP forpatients who showed < 50% improvement in the apnea-hypopnea index. The results of surgery were poor in cases revealed by endoscopy to have the circumferential type of obstruction, but good for the soft palate and tonsil types. When endoscopic examinations were performed in conjunction with n-CPAP, the treatment was observed to act on the pharynx and to expand the airway in all cases Combined medical treatments were effective in cases where n-CPAP alone was ineffective due to high pressure.

Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Publishing Authors By Initials

C Hattori,T Nishimura,K Kawakatsu,M Hayakawa,K Suzuki,

For similar palate, soft: uvula research abstracts see: palate, soft: uvula research

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Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Acta oto-laryngologica. Supplementum

VOLUME:

Page Numbers: 46-50

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ISSN: 0365-5237

DAY: 13

MONTH: 02

YEAR: 2003

Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Information

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LANGUAGE: eng

NlmUniqueID: 370355

Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome. Keywords Mesh Terms:

KEYWORDS: Uvula

MESH TERMS: surgery

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Grant and Affiliation Information for Comparison of surgery and nasal continuous positive airway pressure treatment for obstructive sleep apnea syndrome.

AFFILIATION: Department of Otolaryngology, The Second Affiliated Hospital, Fujita Health University School of Medicine, Nagoya, Japan. febru@k3.dion.ne.jp

Country: Norway

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MEDLINETA: Acta Otolaryngol Suppl

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