Otolaryngology: Open Access
Open Access

Abstract

Objectives: To identify the complications of Z-palatopharyngoplasty in India and to find out its effectiveness in the obstructive sleep apnea/hypopnea syndrome (OSAHS) cases. Study Design: A prospective study. Setting: Tertiary private medical centre. Methods: Twenty five cases with moderate to severe OSAHS cases having concentric velar collapse, failed/ rejected continuous positive airway pressure therapy, and then underwent coblator Z-palatoplasty as a part of single or multilevel procedures done for OSAHS. The subjective symptoms and objective polysomnography parameters were collected preoperatively and at a minimum of 6 weeks postoperatively. Statistical analyses of the results were done. Results: All the candidates completed the study. None had any serious complications except a phantom uvula syndrome in 8 cases (32%). The success rate was 96% (24/25). 6 weeks post-operatively, the Epworth Sleepiness Scale decreased, the mean apnoea/hypopnoea index decreased, the lowest oxygen saturation improved and the visual analog scale decreased. Conclusion: This study shows significant benefits of Z-palatopharyngoplasty in properly selected cases of moderate to severe OSAHS.

Biography

Sudipta Chandra has completed his Master of Surgery (ENT) at the age of 30 years from Allahabad University and Post-doctoral studies from Motilal Nehru Medical College. He is a Consultant in the Department of Oto-rhino-laryngology and Head Neck Surgery at Belle Vue Clinic & Hospital. He has published more than 10 papers in reputed journals, serving as a peer reviewer in more than 3 international journals and also serving as an Editorial Board Member of International Journal of Dental & Medical Research.