Effects and Complications of Modified Palatopharyngoplasty

Lee, Jun Hee; Park, Jun Woo; Lee, Sang Duck; Lee, Yong Bae; Park, Jae Hoon

doi:10.35420/jcohns.1994.5.2.261

J Clin Otolaryngol Head Neck Surg 1994; 5(2):261-266

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1994.5.2.261

원저

변형된 구개인두성형술의 효과 및 합병증

이준희¹, 박준우¹, 이상덕¹, 이용배¹, 박재훈²

Effects and Complications of Modified Palatopharyngoplasty

Jun Hee Lee¹, Jun Woo Park¹, Sang Duck Lee¹, Yong Bae Lee¹, Jae Hoon Park²

Author Information & Copyright ▼

¹고려병원 이비인후과

²이화여자대학교 의과대학 목동병원 이비인후과학교실

¹Department of Otolaryngology，Koryo General Hospital Seoul, Korea

²Department of Otolaryngology, College of Medicine, Ewha University, Mokdong Hospital, Seoul, Korea

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Sleep Apnea is the cessation of air flow secondary either to an obstruction of the upper air-way or to a cessation of respiratory effort. Sleep apnea events are frequently associated with a decrease in oxygen saturation and typically are terminated by an arousal from sleep. Repeated desaturation and disruptions of sleep are believed to be responsible for the medical and social consequences of sleep apnea.

Since the Uvulopalatopharyngoplasty(UPPP) was introduced by Fujita in 1981 and the palatopharyngoplasty (PPP) was introduced by Simmons in 1983 for the obstructive sleep apnea(OSA) patients, these procedures have been modified by many other surgeons. We had treated the OSA patients by Simmons method from 1984 to 1986, but there had been many complication including cicatrical stenosis of soft palate, postoperative bleeding, airway obstruction and wound dehiscence. So we have modified the Simmons method and OSA patients have been undergone the modified method from 1986.

The present article focuses principally upon the comparision of the effects and complications of modified PPP with those of Simmons method.

Keywords: Modified palatopharyngoplasty; Effects; Complications