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Palatopharyngoplasty and Palatal Anatomy and Phenotypes for Treatment of Sleep Apnea in the Twenty-first Century. Otolaryngol Clin North Am 2020 Jun;53(3):421-429

Date

04/27/2020

Pubmed ID

32334865

DOI

10.1016/j.otc.2020.02.005

Scopus ID

2-s2.0-85083510280 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

Successful palatopharyngoplasty is critical for successful sleep apnea surgery. Traditional uvulopalatopharyngoplasty was primarily excisional, whereas newer techniques, such as expansion sphincterpharyngoplasty, are more reconstructive. Studies of flow dynamics even demonstrate that the effectiveness of maxillofacial surgery is significantly mediated through stiffening and enlargement of the lateral retropalatal and pharyngeal airway. The current modified technique of uvulopalatopharyngoplasty/expansion sphincteroplasty aims to maximize relocation and tension on the palatopharyngeus muscle, opening the retropalatal airway and the palatal genu, and minimizing tension on the final mucosal closure.

Author List

Puccia R, Woodson BT

Author

B Tucker Woodson MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Endoscopy
Humans
Palate
Pharynx
Phenotype
Sleep Apnea, Obstructive
Uvula