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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2008 September;58(3):127-31
Uvulopalatal flap: our experience
Eibenstein A., Chiti-Batelli S., Fioretti A. B., Fusetti M.
ENT Division, Department of Surgical Sciences University of L’Aquila, L’Aquila, Italy
Aim. The aim of the study was to evaluate the efficacy of uvulopalatal flap (UPF) in the treatment of snoring (SN) and mild to moderate obstructive sleep apnea syndrome. This technique was proposed as an alternative to the traditional palatal surgical procedures with the advantage of being more conservative and in order to minimize the risk of velopharyngeal insufficiency (VPI).
Methods. For this study we selected 10 patients treated with the UPF. Specific inclusion criteria were based upon preoperative respiratory disturbance index (RDI) score, body mass index and anatomical features of the uvula and soft palate. Follow-up was conducted after 12 months with a control polysomnography (PSG) and a visual analogic scale (VAS) for both subjective snoring and patient overall satisfaction.
Results. Preliminary results showed significant reduction of the mean RDI from 21.4 to 6.3, increase of the lowest mean oxygen saturation from 79% to 86% and reduction of subjective snoring intensity. While one remained undecided, 9 out of 10 patients were satisfied with the procedure.
Conclusion. Our results suggest that UPF in selected patients offers several advantages over other available palatal techniques.