ABSTRACT
OBJECTIVES: The aim of this study was to assess the effectiveness and morbidity of the combined use of bipolar radiofrequency uvulopalatoplasty and a sclerosing agent applied to the soft palate in patients with snoring and apnea during a 1-year follow-up period. METHODS: This was a prospective, nonrandomized study. Twenty-eight patients with primary snoring due to palatal flutter who fulfilled the inclusion criteria were enrolled. Under local anesthesia, a single procedure uvulopalatoplasty using bipolar radiofrequency applied with sterilized forceps was undertaken in combination with a sclerosing agent. RESULTS: Four patients required a repeat procedure 6 weeks after the initial operation. The postoperative Epworth Sleepiness Scale score improved significantly 360 days after surgery. Snoring, measured on the Visual Analogue Scale, decreased from 8.9 +/- 0.7 to 4.1 +/- 1.4 (p < 0.005). No complications were reported. The average reduction on the apnea-hypopnea index was from 24.2 +/- 7.1 to 12.8 +/- 4.4 (p < 0.005). CONCLUSION: Bipolar radiofrequency uvulopalatoplasty combined with injection snoreplasty is an ambulatory, cost-effective, simple, and safe method to reduce the occurrence and effects of snoring and apnea.
Subject(s)
Catheter Ablation/instrumentation , Disorders of Excessive Somnolence/diagnosis , Endoscopy/methods , Palate, Soft/surgery , Sclerosing Solutions/therapeutic use , Snoring/drug therapy , Snoring/surgery , Uvula/surgery , Adult , Aged , Combined Modality Therapy , Disorders of Excessive Somnolence/epidemiology , Equipment Design , Female , Humans , Male , Middle Aged , Postoperative Care , Prospective Studies , Severity of Illness Index , Sleep Apnea, Obstructive/diagnosis , Sleep Apnea, Obstructive/epidemiology , Snoring/diagnosis , Snoring/epidemiology , Surveys and Questionnaires , Treatment Outcome , Young AdultABSTRACT
The aim of this study was to assess the efficacy and morbidity in the use of the palatal implant technique (PITs) in patients with failed uvulopalatopharyngoplasty (UPPP) after a 6-month follow-up period. This was a prospective, nonrandomized study. Sixteen patients who underwent UPPP by the same Institution with Fujita's technique with initial success but developed posterior residual apnea or snoring who fulfilled the inclusion criteria were enrolled. Responses of all patients and their partners were assessed using the visual analogue scale (VAS) and the Epworth sleepiness scale (ESS). Objective data were recorded using ambulatory polysomnography before and at 6 months after surgery. Postoperative VAS and ESS scores significantly improved by 180 days after surgery (P < 0.005). VAS snoring score was reduced from 8.3 +/- 0.8 to 5.5 +/- 1.7 (P < 0.005) and ESS score decreased from 13.3 +/- 5.9 to 10.25 +/- 4.6 (P< 0.005). The apnea-hypopnea index (AHI) decreased from 18.08 +/- 6.02 to 16.8 +/- 5.05 events/h (P = 0.03). The PIT is an effective treatment for snoring and daytime sleepiness of patients with failed UPPPs.
Subject(s)
Palate, Soft/surgery , Pharynx/surgery , Plastic Surgery Procedures/methods , Prosthesis Implantation/methods , Snoring/surgery , Uvula/surgery , Adult , Aged , Female , Follow-Up Studies , Humans , Laryngoscopy , Male , Middle Aged , Polysomnography , Prospective Studies , Reoperation/methods , Snoring/diagnosis , Snoring/physiopathology , Treatment FailureABSTRACT
La invasión del cartílago laríngeo junto con la extensión extralaríngea tumoral constituyen los factores que determinan que el cáncer de laringe sea clasificado como T4 según la clasificación TNM 1988. Hemos realizado mediante un estudio de cohortes retrospectivo con seguimiento a 5 años la supervivencia de 170 pacientes afectados de cáncer de laringe (CL). Hemos observado que los pacientes con afectación exclusiva del cartílago laríngeo tiroideo, a través de un análisis de supervivencia univariable, no presentan un empobrecimiento de su pronóstico en comparación con otros factores que clasifican el cáncer de laringe como ESTADIO IV (afectación extralaríngea, metástasis o la presencia de adenopatías metastásicas) (AU)
Subject(s)
Humans , Thyroid Cartilage/pathology , Laryngeal Neoplasms/pathology , Survival Rate , Prognosis , Follow-Up Studies , Neoplasm Staging/methods , Neoplasm Metastasis/pathologyABSTRACT
El granuloma facial es una rara enfermedad de origen desconocido que se caracteriza por presentar lesiones infiltradas localizadas fundamentalmente en la extremidad cefálica que muestran gran resistencia a los tratamientos médicos y quirúrgicos. Los modernos tratamientos láser permiten su extirpación con un daño mínimo a los tejidos circundantes. Los más utilizados han sido los de argón, dióxido de carbono y pulsado de colorantes. Se describe un caso de granuloma facial tratado con láser de dióxido de carbono superpulsado, con buenos resultados estéticos finales y ausencia de recidivas después de 2 años de control postoperatorio (AU)
Subject(s)
Adult , Male , Humans , Granuloma/therapy , Facial Dermatoses/therapy , Carbon Dioxide/therapeutic use , Argon/therapeutic use , Lasers/therapeutic useABSTRACT
Luego de una intervención por un neurinoma del acústico sin conservación del nervio, se encuentran modificaciones de los reflejos en el tronco encefálico, estimulados por vía acustica. Hemos estudiado las modificaciones y su forma de compensación en los reflejos de parpadeo (RP) y de inhibición maseterina (RIM) con estímulos acústicos en un grupo de siete pacientes en comparación con otro de control. Los resultados muestran que la compensación del RP se inicia rápidamente tras la intervención y finaliza en pocos meses. La compensación del RIM ocurre más lentamente, todavía no finaliza tras 18 meses y es independiente para ambas respuestas del reflejo. Comparando las vías centrales de los reflejos discutimos explicaciones posibles para los resultados
