KẾT QUẢ PHẪU THUẬT CHỈNH HÌNH HỌNG MÀN HẦU LƯỠI GÀ CỦA BỆNH NHÂN NGỪNG THỞ KHI NGỦ DO TẮC NGHẼN VÙNG HỌNG MIỆNG

Abstract

Objective: To describe the clinical and paraclinical characteristics and to preliminarily evaluate the outcomes of uvulopalatopharyngoplasty (UPPP) in patients with obstructive sleep apnea syndrome (OSA) at the oropharyngeal level. Subjects and methods: A descriptive with intervention study was conducted on 30 patients with moderate to severe OSA were treated by UPPP at Military Central Hospital 108. Results: male/female ratio = 9/1, mean age 41,37±10,16, most common symptom snoring (100%) and daytime sleepiness (73,3%), overweight/obese 60%, Mallampati class III-IV 56,7%, tonsillar hypertrophy greade III-IV 66,7%, polysomography results: mean AHI 57,61±21,17, mean ODI 55,7±20,95, no significant difference between males and females. Postoperative results after UPPP: significant reduction in ESS, AHI, ODI, all changes statistically significant. Success rate: based on AHI 53,3%, based on ODI 50%. Conclusion: Obstructive sleep apnea syndrome is commonly observed in middle-aged men, predominantly with overweight or obese body habitus. The typical symptoms include snoring, excessive daytime sleepiness, Mallampati grade III–IV, and tonsillar hypertrophy grade III–IV. Polysomnography usually reveals obstructive events of moderate to severe severity. Uvulopalatopharyngoplasty helps improve clinical symptoms in patients with oropharyngeal obstruction, with the apnea–hypopnea index (AHI) decreasing from severe to moderate after surgery.