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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2000 December;50(4):197-201
Radiosurgery in the treatment of snoring
Restivo S., Speciale R., Gallina S., Cupido G., Giammanco A. M.
Università degli Studi - Palermo Istituto di Clinica Otorinolaringoiatrica Clinica O.R.L. Base (Direttore: Prof. S. Restivo)
Background. The authors evaluated the efficacy and advantages of radiosurgery in patients suffering from intense and simple snoring, associated with obstructive apnea during sleep.
Methods. Eighteen patients aged between 28 and 66 years old were treated; all were treat were male. Of these, 17 underwent palatopharyngoplasty with the use of radiofrequency surgical knifes (RAUP), which was associated with submucosal coagulation using radiofrequency (SRUP) in five patients owing to the concomitant presence of a particularly thick velum palatinum. SRUP was executed alone in one patient with a simple snoring disorder. Six patients also underwent tonsillectomy by dissection under general anesthesia and decongestion of the inferior turbinates was performed using radiofrequency in 13 patients. Temporary tracheotomy was also necessary in 3 patients. The RAUP technique involves the section of the uvula and the execution of two vertical incisions bilaterally in the palatine arch at a distance of 1 cm from the median line. Submucosal coagulation, entails three infixations in the soft palate, one median and two lateral.
Results. No major complications were observed. The results obtained confirmed the resolution of snoring in 16 patients (VAS between 0 and 2) and a major improvement in 2 patients.
Conclusions. The authors conclude that radiosurgery should be considered the elective form of treatment for snoring. Apart from the good results obtained, the use of this technique has a number of advantages, including the simplicity of the technique and the reduced length of surgery. Moreover, the reduced trauma to which tissues are subject using this technique allows rapid cicatrisation, reduced postoperative pain and a shorter hospital stay.