Practice Parameters for the Use of Laser-Assisted Uvulopalatoplasty: An Update for 2000
Autor: | Davila D, Merrill S. Wise, W M Anderson, Woodson Bt, Littner M, Max Hirshkowitz, Kristyna M. Hartse, Clete A. Kushida, Johnson S |
---|---|
Rok vydání: | 2001 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Uvulopalatopharyngoplasty Laser assisted uvulopalatoplasty Controlled studies medicine.disease Appropriate use Uvulopalatoplasty Sleep medicine Otorhinolaryngologic Surgical Procedures Breathing disorders Obstructive sleep apnea Sleep Apnea Syndromes Uvula Surveys and Questionnaires Physiology (medical) medicine Physical therapy Humans Laser Therapy Neurology (clinical) Palate Soft business |
Zdroj: | Sleep. 24:603-619 |
ISSN: | 1550-9109 0161-8105 |
DOI: | 10.1093/sleep/24.5.603 |
Popis: | Laser-assisted uvulopalatoplasty (LAUP) is an outpatient surgical procedure which is in use as a treatment for snoring. LAUP also has been used as a treatment for sleep-related breathing disorders, including obstructive sleep apnea. The Standards of Practice Committee of the American Academy of Sleep Medicine reviewed the available literature, and developed these practice parameters as a guide to the appropriate use of this surgery. Adequate controlled studies on the LAUP procedure for sleep-related breathing disorders were not found in peer-reviewed journals. This is consistent with findings in the original practice parameters on LAUP published in 1994. The following recommendations are based on the review of the literature: LAUP is not recommended for treatment of sleep-related breathing disorders. However, it does appear to be comparable to uvulopalatopharyngoplasty (UPPP) for treatment of snoring. Individuals who are candidates for LAUP as a treatment for snoring should undergo a polysomnographic or cardiorespiratory evaluation for sleep-related breathing disorders prior to LAUP and periodic postoperative evaluations for the development of same. Patients should be informed of the best available information of the risks, benefits, and complications of the procedure. |
Databáze: | OpenAIRE |
Externí odkaz: |