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Long‐term complications of palate surgery: A multicenter study of 217 patients

The Laryngoscope Aug 21, 2020

Pang KP, Vicini C, Montevecchi F, et al. - Researchers conducted this retrospective case‐series analysis to examine long‐term complications of newer reconstructive palate surgery techniques. It was a retrospective six‐country clinical study of OSA patients who had nose and palate surgery. Study participants were 217 patients, mean age = 43.9 ± 12.5 years, mean BMI = 25.9 ± 4.7, mean preoperative apnea‐hypopnea index [AHI] = 30.5 ± 19.1, follow‐up 41.3 months. In total, 217 palatal procedures were conducted, including 50 expansion sphincter pharyngoplasties (ESP), 34 functional expansion pharyngoplasties, 40 barbed reposition pharyngoplasties, 64 modified uvulopalatopharyngoplasties (mUPPP), 11 uvulopalatal flap procedures (UPF), nine suspension pharyngoplasties (SP), eight relocation pharyngoplasties (RP), and one z‐pharyngoplasty. The highest symptom complaints were mUPPP, SP, and RP, on the other hand, the lowest symptom complaint was ESP. Compared with the older ablative techniques, newer palatal techniques have shown to have less long‐term complications.

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