UPPP Snoring Surgery
Obesity is one of the most common cause of obstructive sleep apnea syndrome (OSAHS), UPPP snoring surgery is still internationally recognized as one of the effective therapies for the treatment of OSAHS.
However, the success rate of UPPP snoring surgery for obesity obstructive sleep apnea is only 40-50%. Its high failure rate was mainly due to inappropriate surgical indications to grasp and hard to grasp the amount of soft palate resection. At the same time UPPP snoring surgery can cause the destruction of velopharyngeal function, resulting in eating and language dysfunction.
Surgical methods:
Treated with general anesthesia or local anesthesia, according to the corresponding point in patients with velopharyngeal the mouth to the palate vertical position of vertex distance of 85-90% of the design of the new jaw hanging vertex, along the tongue palatal arch palatal arch and the new palatal pharyngeal hanging point for the purpose shaped curve, the design line of remote organizations, the organization shall be required to remove excess.
After the design lines marked with methylene blue in turn both sides of the soft palate and lateral pharyngeal tissue operation, first of all along the arch wire and the surface of the tongue palatal arch incision for resection of soft palate mucosa and submucosal organizations and fat, revealing the tonsil. Peel from top to bottom hypertrophy tonsils, tonsillar artery and vein ligation, removal of pharyngeal arch in front of the palate mucosa, the palatal pharyngeal arch forward cover, close the pharyngeal side of the wound.
At last, removal of excess palatal down, hanging palate surgery to retain the roots of the appropriate side of the nasal cavity mucosa, and flip to the oral palatal surfaces exposed vertical wound closure to prevent postoperative scar contracture. Patients with nasal intubation back to normal wards, in addition to routine postoperative monitoring, care and things, and pay special attention: the complete suction tube secretions, prevent siltation and keep their smooth, close monitoring of patient oxygen. Oropharyngeal area according to the patients after 1-3 days of swelling in the removal of tracheal intubation, after extubation in patients with sleep may be secondary to positive pressure ventilation treatment and oxygen.
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