caa a22 4500 60618645X CHVBK 20210128100836.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00405-015-3507-y doi (NATIONALLICENCE)springer-10.1007/s00405-015-3507-y A novel palatal implant surgery combined with uvulopalatopharyngoplasty and inferior turbinate radiofrequency for the treatment of moderate to severe obstructive sleep apnea: a pilot study [Elektronische Daten] [Xiang-Min Zhang, Chee-Joe Tham, Ya-Lei Yin, Yue-Qi Sun, Xing Zhou] The efficacy of Pillar implant system for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS) is limited. The aim of this study is to explore a new type of soft palatal surgery for the treatment of adult OSAHS, and describe the subjective and objective results of this new surgery combined with uvulopharyngoplasty and inferior turbinate radiofrequency, and assess its safety and feasibility. Pre-operative preparation and risk assessment were conducted following the guidelines for uvulopalatopharyngoplasty surgery. At the follow-up visits 6 and 12months after surgery, polysomnography and video laryngoscope examination were performed, and the snoring visual analog scale (VAS) and Epworth Sleepiness Scale (ESS) were used to assess the success of the treatment. The median apnea-hypopnea index (AHI) was 16.0 at 6months and 20.9 at 12months after the operation. The pre-operative median LSaO2, 74.0, was significantly increased to 82 at 6months and 80 at 12months after the operation. VAS was significantly decreased from the pre-operative median of 8.0 to 3.0 and 3.0 at 6 and 12months after the operation, respectively. ESS was significantly decreased from the pre-operative median of 10.0 to 5.0 and 6.0 at 6 and 12months after the operation, respectively. The soft palate support surgery is less invasive and has a mild postoperative reaction, few complications and adverse reactions, and good graft safety. Its short-term efficacy is good in patients with moderate to severe OSAHS and velopharyngeal obstruction. Springer-Verlag Berlin Heidelberg, 2015 Obstructive sleep apnea-hypopnea syndrome nationallicence Surgery nationallicence Palatal implant nationallicence Titanium mesh nationallicence Zhang Xiang-Min Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut Tham Chee-Joe Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut Yin Ya-Lei Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut Sun Yue-Qi Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut Zhou Xing Guangzhou T.K Medical Instrument Co. Ltd, Guangzhou, People's Republic of China aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1195-1202 0937-4477 272:5<1195 2015 272 405 https://doi.org/10.1007/s00405-015-3507-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3507-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zhang Xiang-Min Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut NATIONALLICENCE 700 1- Tham Chee-Joe Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut NATIONALLICENCE 700 1- Yin Ya-Lei Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut NATIONALLICENCE 700 1- Sun Yue-Qi Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China aut NATIONALLICENCE 700 1- Zhou Xing Guangzhou T.K Medical Instrument Co. Ltd, Guangzhou, People's Republic of China aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1195-1202 0937-4477 272:5<1195 2015 272 405