Efficacy of somnoplasty in the treatment of rhonchopathy: retrospective study
DOI:
https://doi.org/10.34631/sporl.235Keywords:
Rhonchopathy, radiofrequency of the palate, obstructive sleep apnea syndromeAbstract
Simple rhonchopathy (SR) a!fects 25% of the adult population, wild mild to moderate snoring can a!fect up to 30% of the adult women and 50% of the adult men.
Somnoplasty or radiofrequency of the palate (RFP) is a rela-
tively recent procedure used in the treatment of SR and mild to moderate obstructive sleep apnea syndrome (OSAS) with a predominant obstruction at the level of the palate.
The authors present a review of the patients who underwent somnoplasty at Pedro Hispano Hospital from 2002 to 2006, evaluating the efftcacy of this technique in rhonchopathy control.
The results of PRF are presented according to the subjective improvement evaluated with Visual Analogue Scale for snoring, snoring intensity evaluated with the department protocol and the need for another surgical procedure. They are compared to the available literature and the indications for somnoplasty in the treatment of SR and mild to moderate OSAS are reviewed.
References
BACK LJ, TERVAHARTIALA PO, PIILONEN AK, PARTINEN MM, YLIKOSKI
JS. BIPOLAR RADIOFREQUENCY THERMAL ABLATION OF THE SOFT PA- LATE IN HABITUAL SNORERS WITHOUT SIGNIFICANT DESATURATIONS ASSESSED BY MAGNETIC RESONANCE IMAGING. AMERICAN JOURNAL RESPIRATORY CRITICAL CARE MEDICINE 2002;166:865-71.
EMERY BE, FLEXON PB. RADIOFREQUENCY VOLUMETRIC TISSUE REDUC- TION OF THE SOFT PALATE: A NEW TREATMENT FOR SNORING. LARYN- GOSCOPE 2000;110:1092-98.
YANG C, WOODSON BT. UPPER AIRWAY PHYSIOLOGY AND OBSTRUTIVE SLEEP-DISORDERED BREATHING. OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA 2003;36:409-21.
GUILLEMINAULT C, CHERVIN R, PALOMBINI L, POWELL N. RADIOFRE- QUENCY (PACING AND THERMIC EFFECTS) IN THE TREATMENT OF SLEEP- DISORDERED BREATHING. SLEEP 2000;23:182-6.
STEWARD DL. EFFECTIVENESS OF MULTILEVEL (TONGUE AND PALATE) RADIOFREQUENCY TISSUE ABLATION FOR PATIENTS WITH OBSTRUTIVE SLEEP APNEA SYNDROME. LARYNGOSCOPE 2004;114:2073-84.
BELLOSO A, CHIDAMBARAM A, MORAR P, TIMMS MS. COBLATION TON- SILLECTOMY VERSUS DISSECTION TONSILLECTOMY: POSTOPERATIVE HE- MORRHAGE. LARYNGOSCOPE 2003;113:2010-13.
KEZIRIAN EJ, POWELL NB, RILEY RW, HESTER JE. INCIDENCE OF COM- PLICATIONS IN RADIOFREQUENCY TREATMENT OF THE UPPER AIRWAY. LARYNGOSCOPE 2005;115:1298-304.
SURDULESCU V, STEWARD DL. EFFICACY OF RADIOFREQUENCY THERAPY. SLEEP 2005;28:793-5.
BLUMEN MB, DAHAN S, FLEURY B, HAUSSER-HAUW C, CHABOLLE F. RA- DIOFREQUENCY ABLATION FOR THE TREATMENT OF MILD TO MODERATE OBSTRUCTIVE SLEEP APNEA. LARYNGOSCOPE 2002;112:2086-92.
SHER AE, FLEXON PB, HILLMAN D, ET AL. TEMPERATURE-CONTROLLED RADIOFREQUENCY TISSUE VOLUME REDUCTION IN THE HUMAN SOFT PALATE. OTOLARYNGOL HEAD NECK SURG 2001;125:312-8
HUKINS CA, MITCHELL IC, HILLMAN DR. RADIOFREQUENCY YISSUE VOLUME REDUCTION OF THE SOFT PALATE IN SIMPLE SNORING. ARCH OTOLARYNGOL HEAD NECK SURG 2000;126:602-6
KEHOE TJ, POWELL N. OBJECTIVE EVALUATIONS OF THE RESULTS OF TREATMENT FOR SNORING AND SLEEP APNEA. CHEST 1999;115:305-7.
STUCK BA, MAURER JT, HEIN G, HORMANN K, VERSE T. RADIOFRE- QUENCY SURGERY OF THE SOFT PALATE IN THE TREATMENT OF SNO- RING: A REVIEW OF THE LITERATURE. SLEEP 2004;27:551-5.
TROELL RJ. RADIOFREQUENCY TECHNIQUES IN THE TREATMENT OF SLE- EP-DISORDERED BREATHING. OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA 2003;36:473-93.
FISCHER Y, KHAN M, MANN WJ. MULTILEVEL TEMPERATURE-CONTROL- LED RADIOFREQUENCY THERAPY OF SOFT PALATE, BASE TONGUE, AND TONSILS IN ADULTS WITH OBSTRUTIVE SLEEP APNEA. LARYNGOSCOPE 2003;113:1786-91.
HARALDSSON PO, KARLING J, LYSDAHL M, SVANBORG E. VOICE QUALI- TY AFTER RADIOFREQUENCY VOLUMETRIC TISSUE REDUCTION OF THE SOFT PALATE IN HABITUAL SNORERS. LARYNGOSCOPE 2002;112:1260- 3.