Vol.95 No.8 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 8 August 2002
13 Cases Who Underwent Simultaneous UPPP
and Nasal Surgery
Kosei Takeda, Masatoshi Horiuchi, Muneo Nakaya and Jun Ikeya
(Central Hospital National Defense Agency)
Tomoaki Kai
(Sendai Hospital National Defense Agency)
We performed uvulopalatopharyngoplasty (UPPP) and nasal surgery simultaneously for 13 patients with sleep-disordered breathing.
Comparing these patients with 21 cases who underwent UPPP and nasal surgery, respectively, for age, body mass index (BMI), nasal cavity resistance, quantity of bleeding, operation duration, post-operative course and hospitalization period, there were no statistically significant differences except hospitalization period. (p＜0.05).
No major complications such as airway loss, near-fatal hemorrhage, or arrythmia occurred.
We performed simultaneous operations under patient selection standards as follows: 1) aged under 45, 2) BMI less than 30
kg/㎡, 3) no cardiopulmonary diseases, 4) the subject has simple snoring or obstructive sleep apnea with an apnea index of less than 20 times/hour, 5) no indications for the type of tongue base.
We consider that maintaining these standards and careful respiratory management will lead to good results.
Key words : UPPP, nasal surgery, simultaneous surgery, complication