Özet:

Purpose: Combined expansion sphincter pharyngoplasty (ESF) and anterior palatoplasty (AP) surgery is an effective surgical method applied in the surgical treatment of the compressive sleep apnea syndrome (TUAS). The aim of our study is to evaluate the therapeutic effectiveness in patients with combined ESF+AP due to TUAS by the results of polysomnography (PSG). Materials and Methods: Patients with a combined ESF+AP surgery between 2016-2019 were identified by a retrospective file scan. Preoperative and postoperative patients with PSG were identified. According to preoperative PSG data, 47 patients with mild TUAS were included in the study. Patients’ age, gender, body mass index (VMI), pre- and post-operative period apne-hypopnea index (AHI), Epworth sleepiness scale scores and other PSG data were recorded. Results: Patients' preoperative AI was to be 10.6±3.1; postoperative AI was to be 3.5±1.2 (p<0,001). When the success criterion was considered to be a reduction of 50% in AHI, 41 patients (87.2%) achieved success. Patients' sleep latence and Epworth score values were statistically significantly reduced by surgery (respectively p<0,001; p=0,005). The result: Combined ESF+AP surgery is an effective method of surgical treatment in appropriate patients with mild TUAS.

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