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Positional Therapy and Palatal Surgery

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Positional Therapy in Obstructive Sleep Apnea

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Abstract

This chapter describes a retrospective evaluation of the effect of palatal surgery (uvulopalatopharyngoplasty/Z-palatoplasty) with or without (+/−) concomitant radiofrequent ablation of the base of the tongue (RFTB) on body position-specific apnea–hypopnea index (AHI) values in patients with obstructive sleep apnea (OSA). Treatment outcome is compared to the theoretical effect of (addition of) positional therapy (PT).

AHI and all body position-specific AHI values were significantly reduced by UPPP/ZPP +/− RFTB. This reduction is significantly higher in non-positional OSA than in positional OSA patients. When considering UPPP/ZPP +/− RFTB, effect of body position needs to be taken into account. PT, either as monotherapy or in addition to surgery, theoretically has shown to improve treatment results dramatically in POSA patients. Prospective, controlled trials focusing on the effects of this combination of treatments should further evaluate this hypothetical conclusion.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands

    J. Peter van Maanen M.D.

  2. Department of Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands

    Birgit I. Witte M.Sc., Ph.D.

  3. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Nico de Vries M.D., Ph.D.

  4. Department of Otolaryngology, University Hospital Antwerp, Antwerp, Belgium

    Nico de Vries M.D., Ph.D.

Authors
  1. J. Peter van Maanen M.D.
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  2. Birgit I. Witte M.Sc., Ph.D.
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  3. Nico de Vries M.D., Ph.D.
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Corresponding author

Correspondence to J. Peter van Maanen M.D. .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Nico de Vries

  2. Department of Otorhinolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Madeline Ravesloot

  3. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    J. Peter van Maanen

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van Maanen, J.P., Witte, B.I., de Vries, N. (2015). Positional Therapy and Palatal Surgery. In: de Vries, N., Ravesloot, M., van Maanen, J. (eds) Positional Therapy in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-09626-1_27

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  • DOI: https://doi.org/10.1007/978-3-319-09626-1_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09625-4

  • Online ISBN: 978-3-319-09626-1

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