Evaluation Of One Stage Multi-level Surgery For Severe Obstructive Sleep Apnea Hypopnea Syndrome

Background Obstructive sleep apnea syndrome (OSAHS) is a common and frequent-occurring disease on a clinical, the incidence rate is very high, it can cause more systemic complications and take great harm to human health.with continuous research and awareness on the etiology and pathogenesis of OSAHS, people find a reasonable standard of treatment that can improve or eliminate snoring, hypoxemia, apnea, hypopnea and sleep disordered structure, but to the Patients with severe, because methods, perioperative management, operation treatment and postoperative selection shall not be treated, it appear poor efficacy and high relapse rate of surgery.Object To explore the preoperative examination of nose,oropharyngeal,laryngeal pharynx,,perioperative treatment,operation treatment,postoperative treatment of multi-level surgery on severe obstructive sleep apnea hypopnea syndrome (OSAHS),to improve curative effect,reduce the recurrence,prevent and reduce the operation risk of surgery.Methods 35 cases severe obstructive sleep apnea hypopnea syndrome was choosed during April 2012 to December 2013,all patients was checked of the nasal cavity operation,uvulopalatopharyngoplasty,palatine tonsil resection operation,chin "window"," convex" shape or "trapezoid" osteotomy advancementgenioplasty and genioglossus and hyoid bone muscleadvancement genioplasty,infrahyoid cut,hyoid suspension, tracheal intubation was maintained 24-48h after operation.Results After 8-20 months of follow up,35 cases operations were performed successfully. 21 cases was cured,10 cases has marked effective,4 cases has effective, the total efficiency was 100%..Mean AHI decreased from (59.53±7.74)(time/h)preoperative to postoperative (13.65±4.76) (time/h),lowest mean oxygen saturation increased from (41.97±9.11) (%) to (90.40±4.82) (%), the longest apnea time decreased from (63.14±6.85) (s) to (23.54±6.80) (s).The cases with genioplasty were satisfied with the appearance was improved.Conclusion The one stage multi-level surgery can improve curative effect significantly, reduce the recurrence and the operation risk for the treatment of severe OSAHS.