Long-Term Survival of Patients With Obstructive Sleep Apnea Treated by Uvulopalatopharyngoplasty or Nasal CPAP – Comment
Uvulopalatopharyngoplasty was proposed as a surgical treatment for OSA by Fujita and associates. The success of this operation varies considerably, and some of this variability has been accounted for by differences in patient selection or surgical technique. Both nasal CPAP and UPPP have been shown to reduce systemic blood pressure in patients with OSA. buy allegra
In contrast to our study, He and associates2 found improved survival in those patients with OSA treated by nasal CPAP or tracheostomy but not in those treated by UPPP when compared with untreated patients. However, there are major differences between the two studies. In the study by He and associates;x2 the patients had more severe OSA, and only 40 percent had a successful surgical outcome compared with 81 percent in our study, using similar criteria to define success. Furthermore, the proportion of patients who underwent follow-up polysomnography after UPPP differs. In the study by He and associates,2 79 percent of patients had follow-up polysomnography compared with 94 percent in our study.
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