Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Johnson, N. T.
Right arrow Articles by Chinn, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Johnson, N. T.
Right arrow Articles by Chinn, J.

Chest, Vol 105, 278-283, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Uvulopalatopharyngoplasty and inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea

NT Johnson and J Chinn
Seattle Sleep Disorders Center, Swedish Medical Center 98107-1507.

We prospectively studied nine patients with the obstructive sleep apnea (OSA) syndrome with polysomnography before and after combined (seven simultaneous and two sequential) uvulopalatopharyngoplasty and inferior sagittal mandibular osteotomy with genioglossus advancement as treatment for OSA. All patients had failed to tolerate nasal continuous positive airway pressure and had a respiratory disturbance index (RDI) > or = 20. All patients were found to have disproportionate pharyngeal anatomy with airway narrowing by cephalometrograms and/or fiberoptic nasopharyngoscopy. Following surgery there were significant reductions in the average numbers of respiratory events and significant improvements in average oxygen saturation measurements. When RDIs < or = 5 and < or = 10 are chosen as objective success benchmarks, the success rates are 67 percent (6/9) and 78 percent (7/9), respectively.


This article has been cited by other articles:


Home page
 Arch Otolaryngol Head Neck SurgHome page
E. J. Kezirian and A. N. Goldberg
Hypopharyngeal surgery in obstructive sleep apnea: an evidence-based medicine review.
Arch Otolaryngol Head Neck Surg, February 1, 2006; 132(2): 206 - 213.
[Abstract] [Full Text] [PDF]

Home page
 Arch Otolaryngol Head Neck SurgHome page
M. T. Bowden, E. J. Kezirian, D. Utley, and R. L. Goode
Outcomes of Hyoid Suspension for the Treatment of Obstructive Sleep Apnea
Arch Otolaryngol Head Neck Surg, May 1, 2005; 131(5): 440 - 445.
[Abstract] [Full Text] [PDF]

Home page
 Arch Otolaryngol Head Neck SurgHome page
I. Vilaseca, A. Morello, J. M. Montserrat, J. Santamaria, and A. Iranzo
Usefulness of Uvulopalatopharyngoplasty With Genioglossus and Hyoid Advancement in the Treatment of Obstructive Sleep Apnea
Arch Otolaryngol Head Neck Surg, April 1, 2002; 128(4): 435 - 440.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
G. BETTEGA, J.-L. PEPIN, D. VEALE, C. DESCHAUX, B. RAPHAEL, and P. LEVY
Obstructive Sleep Apnea Syndrome . Fifty-one Consecutive Patients Treated by Maxillofacial Surgery
Am. J. Respir. Crit. Care Med., August 1, 2000; 162(2): 641 - 649.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. H. Sanders, P. J. Strollo Jr., C. W. Atwood Jr., T. Braun, and J. T. Johnson
Why the Upper Airway Is Not Like a Gall Bladder
Chest, December 1, 1999; 116(6): 1503 - 1506.
[Full Text] [PDF]

Home page
 ChestHome page
J. R. Prinsell
Maxillomandibular Advancement Surgery in a Site-Specific Treatment Approach for Obstructive Sleep Apnea in 50 Consecutive Patients*
Chest, December 1, 1999; 116(6): 1519 - 1529.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
P. J. Strollo and R. M. Rogers
Obstructive Sleep Apnea
N. Engl. J. Med., January 11, 1996; 334(2): 99 - 104.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1994 by the American College of Chest Physicians.