Conservative Uvulopalatoplasty for Sleep Apnea and Snoring. A Proposal of Conservative Uvulopalatoplasty(CUPP).

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  • 睡眠時無呼吸及びいびきに対する保存的口蓋垂軟口蓋形成術　ＣＯＮＳＥＲＶＡＴＩＶＥ　ＵＶＵＬＯＰＡＬＡＴＯＰＬＡＳＴＹ（ＣＵＰＰ）の提唱
  • A PROPOSAL OF CONSERVAT IVE UVOLOPALA TOPLASTY (CUPP)
  • CONSERVATIVE UVULOPALATOPLASTY(CUPP)の提唱

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Description

As a surgical treatment for sleep apnea or heavy snoring, late Dr. Takenosuke Ikematsu devised uvulopalatoplasty through his 39 years of investigations. The authors have simplified this technique by the application of electrocoagulation using high frequency current and have obtained good results.<BR>To decide the indication of this technique, listening to the recorded tapes of snoring, inspection of soft palate without using tongue depressor and laryngofiberscopy through the nose are important. The patients with excessively large uvula and wide posterior palatal arches are indicated.<BR>In this technique, a part of the uvula and the posterior palatal arches are coagulated by weak high frequency current mildly at first, then removed by round cutting forceps. When coagulation is adequate, this technique can be done without bleeding, so, hospitalization is unnecessary.<BR>The following results were obtained in 161 cases.<BR>(1) Cured (complete disappearance of snoring): 40 cases, 25%.<BR>(2) Much improved (slight snoring remained, but much lighter than prior to the surgery): 61 cases, 37%.<BR>(3) Little improved (relatively heavy snoring remained, but a little better than prior to thesurgery): 46 cases, 29%.<BR>(4) No change: 14 cases, 9%.<BR>In the cases for which the inspection of the soft palate is easy, or the narrow part is located at 10-12 cm from the nostril under the laryngofibers-copy through the nose, good results were obtained. In contrast, for obese short-necked patients or patients with high tongue dorsums, other techniques should be recommended.<BR>The authors would like to name this technique “Conservative Uvulopalatoplasty (CUPP) ”.

Journal

  • JIBI INKOKA TEMBO

    JIBI INKOKA TEMBO 38 (3), 343-348, 1995

    Society of Oto-rhino-laryngology Tokyo

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