{"title":"Effects of Orofacial Myofunctional Exercises on Uvulopalatopharyngoplasty Outcome: A Randomized Controlled Trial.","authors":"Reza Erfanian, Forough Mahdavian, Mostafa Rahimi, Saeid Sohrabpour, Reyhaneh Heydari, Maedeh Salehi, Mahdieh Sajedifar, Hamed Abdollahi","doi":"10.1007/s12070-025-05422-7","DOIUrl":null,"url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a serious disorder that associated with repeated interruptions and resumptions of breathing during sleep, and is a major contributor to cardiovascular disease, hypertension and stroke in adult. One of the treatment methods for OSA is Uvulopalatopharyngoplasty (UPPP) which aimed to eliminate obstruction mainly at soft plate and oropharynx level to determine the effects of Orofacial Myofunctional Exercises (OME) on UPPP surgery. Forty patients who underwent UPPP were randomly allocated into two groups. The exercise group performed OME for 8 weeks. The control group performed no exercise. The apnea-hypopnea index (AHI), mean sleep saturation, time spent below 90% oxygen saturation (T90), lowest desaturation, Epworth Sleepiness Scale (ESS), and the Stanford Subjective Snoring Scale (SSSS) were measured in each group at the trial entrance time and 8 weeks later. No significant measurements' change was observed in the control group. In the exercise group significant improvements in AHI (<i>P</i> = 0.001), lowest desaturation (<i>P</i> = 0.02), T90 (<i>P</i> = 0.014) and ESS (<i>P</i> = 0.04) were observed but mean saturation and SSSS showed no significant change. At the end of study AHI in exercise group was significantly lower in the exercise group than control group (5.06 ± 5.36 vs. 10.15 ± 8.01, <i>P</i> = 0.02). OME over 8 weeks improved of the UPPP outcomes.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 5","pages":"2020-2025"},"PeriodicalIF":0.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043543/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05422-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/22 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Obstructive sleep apnea (OSA) is a serious disorder that associated with repeated interruptions and resumptions of breathing during sleep, and is a major contributor to cardiovascular disease, hypertension and stroke in adult. One of the treatment methods for OSA is Uvulopalatopharyngoplasty (UPPP) which aimed to eliminate obstruction mainly at soft plate and oropharynx level to determine the effects of Orofacial Myofunctional Exercises (OME) on UPPP surgery. Forty patients who underwent UPPP were randomly allocated into two groups. The exercise group performed OME for 8 weeks. The control group performed no exercise. The apnea-hypopnea index (AHI), mean sleep saturation, time spent below 90% oxygen saturation (T90), lowest desaturation, Epworth Sleepiness Scale (ESS), and the Stanford Subjective Snoring Scale (SSSS) were measured in each group at the trial entrance time and 8 weeks later. No significant measurements' change was observed in the control group. In the exercise group significant improvements in AHI (P = 0.001), lowest desaturation (P = 0.02), T90 (P = 0.014) and ESS (P = 0.04) were observed but mean saturation and SSSS showed no significant change. At the end of study AHI in exercise group was significantly lower in the exercise group than control group (5.06 ± 5.36 vs. 10.15 ± 8.01, P = 0.02). OME over 8 weeks improved of the UPPP outcomes.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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