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Laser-assisted uvulopalatoplasty: an assessment of a technique

Published online by Cambridge University Press:  29 June 2007

Michael Wareing  and
David Mitchell
Michael Wareing
Affiliation:
Department of Otolaryngology, Head and Neck Surgery. Kent and Canterbury Hospital, Ethelbert Road. Canterbury, UK.
David Mitchell*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery. Kent and Canterbury Hospital, Ethelbert Road. Canterbury, UK.
*
Address for correspondence: Mr D. B. Mitchell, Department of Otolaryngology, Head and Neck Surgery, Kent and Canterbury Hospital, Ethelbert Road, Canterbury CT1 3NG.
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Abstract

The Kamami technique of laser-assisted uvulopalatoplasty has recently been introduced into British practice as an office-based multistage procedure for the treatment of snoring and, in certain cases, for obstructive sleep apnoea. We have treated 50 patients with simple snoring, with a minimum follow-up of six months. Six-month telephone interview follow-up has assessed partner and patient satisfaction, as well as willingness to undergo the procedure again. We have found the procedure easy to perform with no serious intra-operative complications. Thirty-four (68 per cent) of patients' partners have been definitely satisfied with the results of treatment, with 11 (22 per cent) definitely unsatisfied. However, only 25 of these 34 satisfied patients (76 per cent) would be prepared to undergo the treatment again with postoperative pain and discomfort cited as the reason in those who would not. The failure rate doubled between one and six months post-operatively. There have been no serious complications but a 40 per cent minor side-effect rate is noted. These results are discussed in the context of previously reported results, with consideration of future strategies to improve outcome.

Keywords

SnoringPalatesoftUvulaLaser surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 232 - 236
Copyright
Copyright © JLO (1984) Limited 1996

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References

Carenfelt, C. (1991) Laser uvuloplasty in treatment of habitual snoring. Annals of Otology, Rhinology and Laryngology 100: 451–454.CrossRefGoogle Scholar
Croft, C. B., Golding-Wood, D. G. (1990) Uses and complications of uvulopalatopharyngoplasty. Journal of Laryngology and Otology 104: 871–875.CrossRefGoogle ScholarPubMed
Croft, C. B., Pringle, M. B. (1991) Sleep nasendoscopy: A technique of assessment in snoring and obstructive sleep apnoea. Clinical Otolaryngology 16: 504–509.CrossRefGoogle ScholarPubMed
Ellis, P. D., Williams, J. E., Schneerson, J. M. (1993) Surgical relief of snoring due to palatal flutter: A preliminary report. Annals of the Royal College of Surgeons of England 75(4): 286–290.Google ScholarPubMed
Ellis, P. D. (1994) Laser palatoplasty for snoring due to palatal flutter: A further report. Clinical Otolaryngology 19: 350–351.CrossRefGoogle ScholarPubMed
Kamami, Y. V. (1990) Laser CO2 for snoring. Preliminary results. Ada Oto-rhino-laryngologica Belgique 44: 451–456.Google ScholarPubMed
Kamami, Y. V. (1994) Outpatient treatment of snoring with CO2 laser: Laser assisted UPPP. Journal of Otolaryngology 23(6): 391–394.Google ScholarPubMed
Katsantonis, G. P., Friedman, W. H., Rosenblum, B. N., Walsh, J. K. (1990) The surgical treatment of snoring: A patient's perspective. Laryngoscope 100: 138–140.CrossRefGoogle ScholarPubMed
Macnab, T., Blokmanis, A., Dickson, R. I. (1992) Long-term results of uvulopalatopharyngoplasty for snoring. Journal of Otolaryngology 21(5): 350–354.Google ScholarPubMed
Pringle, M. B., Croft, C. B. (1991) A comparison of sleep nasendoscopy and the Miiller manoeuvre. Clinical Otolaryngology 16: 559–562.CrossRefGoogle Scholar
Pringle, M. B., Croft, C. B. (1993) A grading system for patients with obstructive sleep apnoea-based on sleep nasendoscopy. Clinical Otolaryngology 18: 480–484.CrossRefGoogle ScholarPubMed
Sher, A. E., Thorpy, M. J., Shprintzen, R. J., Spielman, A. J., Burack, B., McGregor, P. A. (1985) Predictive value of Miiller manoeuvre in selection of patients for uvulopalatopharyngoplasty. Laryngoscope 95: 1483–1487.CrossRefGoogle Scholar
Skatvedt, O. (1993) Localization of site of obstruction in snorers and patients with obstructive sleep apnoea syndrome: A comparison of fibreoptic nasopharyngoscopy and pressure measurements. Ada Otolarvngologica (Stockholm) 113: 206–209.CrossRefGoogle ScholarPubMed