Uvulopalatopharyngoplasty is, for the most part, both safe and effective as a surgical treatment for obstructive sleep apnea and severe snoring. Most complications can be avoided with proper surgical technique. Palatal dysfunction can be avoided if the shortening of the soft palate in the midline (uvula) area is minimized. Nasopharyngeal stenosis can be avoided with minimization of the posterior pillar resection and by avoidance of pharyngeal undermining. The effectiveness of surgery can be improved by placing emphasis 1) on opening the nasopharynx widely in the lateral port areas and 2) on tissue removal deep in the inferior tonsillar poles (and hypopharynx) with mucosal advancement and suturing.
References
1.
FairbanksDN. Uvulopalatopharyngoplasty complications and avoidance strategies. Otolaryngol Head Neck Surg1990;102:239–45.
2.
IkematsuT.Study of snoring, 4th report: Therapy. Nippon Jibiinkoka Gakkai Kaiho1964;64:434–5.
3.
FujitaS, ConwayW, ZorickF, RothT.Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: Uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg1981;89:923–34.
4.
IkematsuT.PPP and partial uvulectomy method of Ikematsu. In: FairbanksDN, FujitaS, IkematsuT, SimmonsFB, eds. Snoring and Obstructive Sleep Apnea. New York: Raven Press, 1987:130–4.
5.
FujitaS.Method of Fujita. In: FairbanksDN, FujitaS, IkematsuT, SimmonsFB, eds. Snoring and Obstructive Sleep Apnea. New York: Raven Press, 1987:134–53.
6.
DicksonRI. Determining how much palate to resect. In: FairbanksDN, FujitaS, IkematsuT, SimmonsFB, eds. Snoring and Obstructive Sleep Apnea. New York: Raven Press, 1987:167–70.
7.
FairbanksDN. Method of Fairbanks. In: FairbanksDN, FujitaS, IkematsuT, SimmonsFB, eds. Snoring and Obstructive Sleep Apnea. New York: Raven Press, 1987:160–7.
