The functional palatorrhaphy in the treatment of obstructive sleep apnoea

We have developed a new operation for the surgical treatment of obstructive sleep apnoea, which we called functional palatorrhaphy. This preserves the posterior border of the soft palate and allows a controlled repair of the aponeurosis of the soft palate muscle. We combine the palatorrhaphy with a...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 1996-02, Vol.34 (1), p.82-86
Main Authors: Wiltfang, J., Merten, H.A., Luhr, H.G.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Chin - surgery
Dentistry
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Osteotomy - methods
Palatal Muscles - surgery
Sleep Apnea Syndromes - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tongue - surgery
Treatment Outcome
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Summary:We have developed a new operation for the surgical treatment of obstructive sleep apnoea, which we called functional palatorrhaphy. This preserves the posterior border of the soft palate and allows a controlled repair of the aponeurosis of the soft palate muscle. We combine the palatorrhaphy with a standard or a modified chin osteotomy with advancement of the base of tongue. In our first five treated and re-evaluated patients with severe obstructive sleep apnoea syndrome, who did not respond to conservative treatment, the operation was successful. All patients but one were considerably improved or cured of their symptoms.
ISSN:0266-4356
1532-1940
DOI:10.1016/S0266-4356(96)90142-4