Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases

Objective. The aim of this study was to investigate the changes in velopharyngeal and glossopharyngeal airway morphology and volume after uvulopalatopharyngoplasty in three adult obstructive sleep apnea syndrome patients who had bilateral large tonsils using three-dimensional computed tomography. Ca...

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Main Authors: Yoichi Nishimura, Naoko Fujii, Takahisa Yamamoto, Mahmood A. Hamed, Misato Nishimura, Takuro Kojima, Noboru Iwata, Kenji Suzuki, Seiichi Nakata
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/9378428
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author Yoichi Nishimura
Naoko Fujii
Takahisa Yamamoto
Mahmood A. Hamed
Misato Nishimura
Takuro Kojima
Noboru Iwata
Kenji Suzuki
Seiichi Nakata
author_facet Yoichi Nishimura
Naoko Fujii
Takahisa Yamamoto
Mahmood A. Hamed
Misato Nishimura
Takuro Kojima
Noboru Iwata
Kenji Suzuki
Seiichi Nakata
author_sort Yoichi Nishimura
collection DOAJ
description Objective. The aim of this study was to investigate the changes in velopharyngeal and glossopharyngeal airway morphology and volume after uvulopalatopharyngoplasty in three adult obstructive sleep apnea syndrome patients who had bilateral large tonsils using three-dimensional computed tomography. Case Report. All three patients (one male and two females) who presented with a history of heavy snoring and excessive daytime sleepiness were examined with overnight nocturnal polysomnography, which indicated moderate-to-severe obstructive sleep apnea syndrome. Because all patients had large tonsils, uvulopalatopharyngoplasty was expected to enlarge the pharyngeal airway. Polysomnography and three-dimensional computed tomography scanning were performed and compared, both before and 3 months after uvulopalatopharyngoplasty. Results. Unexpectedly, although the morphology of the glossopharyngeal airway clearly changed after UPPP, the volume changes in the velopharyngeal and glossopharyngeal airways were negligible.
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institution OA Journals
issn 2090-6765
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-896c1cd0113044e58db6235e883a40b52025-08-20T02:09:37ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/93784289378428Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three CasesYoichi Nishimura0Naoko Fujii1Takahisa Yamamoto2Mahmood A. Hamed3Misato Nishimura4Takuro Kojima5Noboru Iwata6Kenji Suzuki7Seiichi Nakata8Department of Otorhinolaryngology, Second Hospital, Fujita Health University School of Medicine, 3-6-10 Otobashi, Nagoya, Aichi 454-8509, JapanDepartment of Radiology, Second Hospital, Fujita Health University School of Medicine, Nagoya, Aichi 454-8509, JapanDepartment of Mechanical Engineering, Gifu National College of Technology, Motosu, Gifu 501-0400, JapanDepartment of Otorhinolaryngology, Second Hospital, Fujita Health University School of Medicine, 3-6-10 Otobashi, Nagoya, Aichi 454-8509, JapanDepartment of Radiology, Second Hospital, Fujita Health University School of Medicine, Nagoya, Aichi 454-8509, JapanDepartment of Otorhinolaryngology, Second Hospital, Fujita Health University School of Medicine, 3-6-10 Otobashi, Nagoya, Aichi 454-8509, JapanDepartment of Otorhinolaryngology, Second Hospital, Fujita Health University School of Medicine, 3-6-10 Otobashi, Nagoya, Aichi 454-8509, JapanYonaha General Hospital, Kuwana, Mie 511-0000, JapanDepartment of Otorhinolaryngology, Second Hospital, Fujita Health University School of Medicine, 3-6-10 Otobashi, Nagoya, Aichi 454-8509, JapanObjective. The aim of this study was to investigate the changes in velopharyngeal and glossopharyngeal airway morphology and volume after uvulopalatopharyngoplasty in three adult obstructive sleep apnea syndrome patients who had bilateral large tonsils using three-dimensional computed tomography. Case Report. All three patients (one male and two females) who presented with a history of heavy snoring and excessive daytime sleepiness were examined with overnight nocturnal polysomnography, which indicated moderate-to-severe obstructive sleep apnea syndrome. Because all patients had large tonsils, uvulopalatopharyngoplasty was expected to enlarge the pharyngeal airway. Polysomnography and three-dimensional computed tomography scanning were performed and compared, both before and 3 months after uvulopalatopharyngoplasty. Results. Unexpectedly, although the morphology of the glossopharyngeal airway clearly changed after UPPP, the volume changes in the velopharyngeal and glossopharyngeal airways were negligible.http://dx.doi.org/10.1155/2016/9378428
spellingShingle Yoichi Nishimura
Naoko Fujii
Takahisa Yamamoto
Mahmood A. Hamed
Misato Nishimura
Takuro Kojima
Noboru Iwata
Kenji Suzuki
Seiichi Nakata
Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
Case Reports in Otolaryngology
title Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
title_full Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
title_fullStr Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
title_full_unstemmed Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
title_short Volumes of Velopharyngeal and Glossopharyngeal Airway Were Not Changed after Uvulopalatopharyngoplasty: Report of Three Cases
title_sort volumes of velopharyngeal and glossopharyngeal airway were not changed after uvulopalatopharyngoplasty report of three cases
url http://dx.doi.org/10.1155/2016/9378428
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