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- W2369509966 abstract "OBJECTIVE To measure long-term symptom improvement following revised uvulopalatopharyngoplasty(H-UPPP),compared with continuse positive airway pressure(CPAP)therapy in patients with obstructive sleep apnea(OSA).METHODS Retrospective cohort study in 2165 subjects [744 subjects(34.4%)finally completed the follow up].Simutanceously adult patients with OSA underwent H-UPPP(n=194),had CPAP(n=125),or untreated(n=320)were followed by questionnaire at 5.24 years after therapy.They were asked to repeat to grade the questionnaires and Epworth sleepiness scale(ESS).Visual analogue scale(VAS)was used to evaluate the effect of treatment.RESULTS 84.7% subjects in H-UPPP group reported improvement in snoring,while 70.2% reported improvement in notable nocturnal apneas;In 149 cases(76.8%)the ESS score decreased compared with preoperative value,with a median of 4.5 points[1.0;9.0];ESS score dropped blow 9 points in 69/83(83.1%) subjects who had postoperative ESS score over 9 points.75.7% subjects had improved energy and attention during the day;63.2% subjects had improved dry mouth.The median of VAS score for treatment effect of H-UPPP was 8[7;9](n=176)while 92.0% had an VAS score≥ 5.No significant difference was seen between surgical group and CPAP controls in VAS score(8[7;9] vs 8[8;9],Z=-1.881,P=0.06).Either was the symptom of exessive daytime sleepiness.greater improvement was achived by CPAP group in ESS score(Z=-3.277,P=0.001),dry mouth in the morning(Z=-3.474,P=0.001)as well as energy and attention(Z=-3.071,P=0.001).CONCLUSION Symptoms were improved of snoring,sleepiness,dry mouth,night respiratory arrest,energy during the day as well as ESS score five years after H-UPPP in patient with OSA." @default.
- W2369509966 created "2016-06-24" @default.
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- W2369509966 date "2011-01-01" @default.
- W2369509966 modified "2023-09-23" @default.
- W2369509966 title "Long-term outcome of Han-uvulopalatopharyngoplasty with uvula reserved" @default.
- W2369509966 hasPublicationYear "2011" @default.
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