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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 1998 September;48(3):127-30

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Peri- and postoperative complications in the uvulopalatoplasty for treatment of snoring in the office setting

Bertoletti F., Lattuada N., Tinelli N., Corica G.*, Scheiber E.**

Ospedale di Valcamonica-Esine (Brescia) Divisione ORL * Divisione di Pneumologia ** Ospedale Caduti Bollatesi - Bollate (Milano) Divisione ORL


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Background and methods. In the years 1995-1997, we performed 230 uvulopalatoplasty (UP) in selected patients at our institution. All the surgical procedures were performed under local anesthesia in a Day-Hospital regimen. Our basic surgical technique consisted in a sub-total uvulectomy and in two vertical incisions through the soft palate lateral to the uvula. We used CO2 Laser (150 patients), Diode Laser (20 patients) and Radiofrequency used in superpulse mode as a blade (60 patients). Results. The results and complications are discussed. A complete or near complete elimination of snoring was achieved in 70% of the patients. No improvement or partial improvement was noted in 30% of the patients. Thirteen patients had a perioperative local bleeding, 6 patients had a postoperative local bleeding, 3 patients had a local infections, 8 patients had vasovagal reaction (lipotimic episode). The low rate of complications allows us to perform the UP as an ambulatory procedure, under local anesthesia.
Conclusions. We strongly recommend an accurate selection of the patients, that should be achieved with a multidisciplinary approach.

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