[Transcervical tongue partial reduction combined with uvulopalatopharyngoplasty in treatment of obstructive sleep apnea-hypopnea syndrome].

OBJECTIVE: To treat severe obstructive sleep apnea-hypopnea syndrome (OSAHS) with transcervical tongue partial reduction and evaluate treating effect. METHODS: Forty four patients of severe OSAHS were treated with transcervical tongue partial reduction + uvulopalatopharyngoplasty (UPPP). Apnea hypopnea index (AHI), minimal oxygen percent saturation, body mass index (BMI), area of retroglossal region were measured for diagnosis and evaluation. RESULTS: AHI decreased from (67.5 +/- 21.1) times/h to (10.5 +/- 6.8) times/h (t = 2.1, P < 0.01). The lowest oxygen percent saturation increased from 0.694 +/- 0.009 to 0.829 +/- 0.008 (t = 4.3, P < 0.01). The area of retroglossal region increased from (291.7 +/- 107.8) mm(2) to (398.1 +/- 94.5) mm(2) (t = 3.318, P < 0.05). Four patients complained dysphagia half year after operation. One patient complained about pharyngeal fistula, which disappeared in 2 weeks. One patient appeared hypoglossis bleeding, which stopped after compression. CONCLUSION: Transcervical tongue partial reduction is an effective attempt and supplement for OSAHS with retroglossal region narrow.