Suspended maxillopharyngoplasty

Obstructive sleep apnea hypopnea syndrome (OSAHS) can induce a variety of diseases, and uvulopalatopharyngoplasty (UPPP) is currently the most common and effective surgical treatment. Treatment of diseases: obstructive sleep apnea syndrome Indication 1. Patients with obstructive apnea syndrome undergo a clinical examination to block the stenosis in the oropharynx. 2. The apnea index is above 5 (the apnea index is the number of apneas per hour, and each apnea is for more than 10 seconds). 3. The loudness of the snoring is greater than 60dB, and the instrument is used to detect hypoxemia during nighttime sleep. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation 1. Perform nasal and pharyngeal examinations for lateral X-ray measurements of the skull. Fiber nasopharyngoscopy to determine the stenosis. 2. The rest with tonsillectomy. Surgical procedure The incision was 0.5 cm along the lateral side of the lingual arch, and the mucosa was cut open to reach the basal part of the uvula and then turned to the middle of the tip and then the ipsilateral pharyngeal arch was cut outward. In the incision, the submucosal separation, excision of the tonsils and mucosa in the incision, submucosal tissue, appropriate trimming of the pharyngeal arch mucosa, suture the two arch mucosa with a slight tension, the same method to remove the contralateral side. If the uvula hangs down too long, it is partially removed. If the mucosa of the posterior pharyngeal wall is excessive, the method of resection is the same as that of the pharynx.