Uvulopalatopharyngoplastie en modified uvulopalatopharyngoplastie bij ronchopathie en OSAS: een retrospectieve analyse van het patientenprofiel

Abstract

Uvulopalatopharynoplasty and modified uvulopalatopharyngoplasty in ronchopathy and OSA: a retrospective analysis of the patient profile Obstructive sleep apnea syndrome affects 4% of the male and 2% of the female population. The etiology of OSA is multifactorial and surgery is often considered. This retrospective study identifies the population that has had surgery based on general and clinical data. 132 patients could be included. Secondly, it is also examined whether there is an added value of sleep endoscopy in the investigation, as whether there is a correlation between the data of a sleep endoscopy and the clinical data. There is a majority of male patients (77.36%), with the average age at surgery being 43.5 ± 0.8 years. This population has a mean BMI-value of 27.7 ± 4.1. The symptomatology, clinical features and the results from DISE examination were included in the database. This indicates a particular predominance of velar and oropharyngeal collapse in this population. Finally, it has been checked whether the data obtained during the clinical study correlate with those from the DISE study. This shows that a sleep endoscopy is an indispensable factor in the diagnostic process. This study indicates that patients which had an uvulopalatopharyngoplasty, mainly had an obstruction at the velar and oropharyngeal level during sleep endoscopy. An often normal clinical examination of these patients illustrates the importance of a sleep endoscopy. An assessment based solely on clinical examination and polysomnography are insufficient to improve the indication for surgery and to predict the outcome of surgery.