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- Title
Snoring intensity after a first session of soft palate radiofrequency Snoring intensity after a first session of soft palate radiofrequency: Predictive value of the final result.
- Authors
Blumen, Marc Bernard; Vezina, Jean Philippe; Bequignon, Emilie; Chabolle, Frederic
- Abstract
Objectives/Hypothesis To determine whether snoring sound intensity measured after a first soft palate radiofrequency (RF) session for simple snoring helps predict the final result of the treatment. Study Design Observational retrospective study. Methods We conducted a retrospective review of 105 subjects presenting with simple snoring or mild sleep apnea. All patients underwent two to three sessions of RF-assisted stiffening of the soft palate. In addition, uvulectomy was performed in case of a long uvula, and two paramedian trenches were created in the presence of palatal webbing. Snoring sound intensity was evaluated by the bed partner after each session. Results Eighty-six men and 19 women were included in the study. Mean age was 51.7 ± 9.8 years, and mean body mass index was 24.7 ± 4.4 kg/m2. The mean apnea/hypopnea index was 6.6 ± 4.2/h. The mean snoring sound intensity, as evaluated on a 10-cm visual analog scale (VAS), decreased from 8.2 ± 1.5 to 3.5 ± 2.2 after all sessions ( P < .0001). A score of 3 was determined as being a score that satisfied the bed partner. Two groups were formed according to the final snoring sound intensity, using 3 as a threshold. Both groups had similar preoperative characteristics, but the snoring sound intensity was significantly lower after the first session in the group with final score <3 ( P = .01). Similarly, a VAS score >7 after the first session was associated with a final score <3 in 30% of the cases. Conclusions Snoring sound intensity after the first RF session helps predict the final outcome of RF-assisted stiffening of the soft palate for simple snoring. Level of Evidence 4.
- Subjects
SLEEP apnea syndrome treatment; SOFT palate; RADIOFREQUENCY spectroscopy; PREOPERATIVE care; RETROSPECTIVE studies
- Publication
Laryngoscope, 2013, Vol 123, Issue 6, p1556
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.23800