Modified Z-Palatoplasty for Correction of Acquired Nasopharyngeal Stenosis Following Palatal Surgery: A Case Series.

Mohamed Eesa, Ehsan Hendawy, Mohammad Waheed El-Anwar
{"title":"Modified Z-Palatoplasty for Correction of Acquired Nasopharyngeal Stenosis Following Palatal Surgery: A Case Series.","authors":"Mohamed Eesa,&nbsp;Ehsan Hendawy,&nbsp;Mohammad Waheed El-Anwar","doi":"10.1177/10556656211021702","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the efficacy of a novel surgical technique in management of nasopharyngeal stenosis (NPS), describing its steps and results. <i>Study Design</i>: Prospective clinical trial.</p><p><strong>Setting: </strong>This study was conducted at the Otolaryngology, Head and Neck Surgery Department, Zagazig University.</p><p><strong>Methods: </strong>This prospective study was conducted on patients with snoring ± obstructive sleep apnea due to acquired postsurgical NPS of grade Ι and ΙΙ. New surgical repair was employed on the patients and the pre and postoperative results were statistically compared.</p><p><strong>Results: </strong>The grade of NPS improved significantly postoperatively (<i>P</i> = .00136) throughout a follow-up of 1 year. Postoperatively, there was statistically significant improvement of apnea hypopnea index (<i>P</i> = .0005), Visual Analog Scale (VAS) of nasal obstruction (<i>P</i> < .0001) and VAS of snoring (<i>P</i> < .0001). Dysphagia showed early worsening, but it improved completely at 3 months postoperatively.</p><p><strong>Conclusion: </strong>The utilized novel procedure appears effective, low cost, and easily applicable, and it does not require implants, special tools, or suture materials. Furthermore, it gives excellent results, with negligible pain, and rapid recovery without significant complications.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"774-778"},"PeriodicalIF":0.0000,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211021702","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656211021702","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/6/22 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Objectives: To evaluate the efficacy of a novel surgical technique in management of nasopharyngeal stenosis (NPS), describing its steps and results. Study Design: Prospective clinical trial.

Setting: This study was conducted at the Otolaryngology, Head and Neck Surgery Department, Zagazig University.

Methods: This prospective study was conducted on patients with snoring ± obstructive sleep apnea due to acquired postsurgical NPS of grade Ι and ΙΙ. New surgical repair was employed on the patients and the pre and postoperative results were statistically compared.

Results: The grade of NPS improved significantly postoperatively (P = .00136) throughout a follow-up of 1 year. Postoperatively, there was statistically significant improvement of apnea hypopnea index (P = .0005), Visual Analog Scale (VAS) of nasal obstruction (P < .0001) and VAS of snoring (P < .0001). Dysphagia showed early worsening, but it improved completely at 3 months postoperatively.

Conclusion: The utilized novel procedure appears effective, low cost, and easily applicable, and it does not require implants, special tools, or suture materials. Furthermore, it gives excellent results, with negligible pain, and rapid recovery without significant complications.

Level of evidence: 4.

改良z型腭成形术矫正腭手术后获得性鼻咽狭窄:一个病例系列。
目的:评价一种新的手术技术在治疗鼻咽狭窄(NPS)中的疗效,描述其步骤和结果。研究设计:前瞻性临床试验。背景:本研究在扎加齐格大学耳鼻喉科、头颈外科进行。方法:前瞻性研究对象为术后获得性NPS (Ι级和ΙΙ级)所致鼾症±阻塞性睡眠呼吸暂停患者。对患者进行新的手术修复,并对术前、术后结果进行统计学比较。结果:术后随访1年,NPS评分明显提高(P = 0.00136)。术后呼吸暂停低通气指数(P = 0.0005)、鼻塞视觉模拟评分(VAS) (P < 0.0001)、打鼾VAS (P < 0.0001)改善均有统计学意义。吞咽困难早期加重,术后3个月完全好转。结论:所采用的新方法有效,成本低,易于应用,不需要植入物,特殊工具或缝合材料。此外,它的效果很好,疼痛可以忽略不计,恢复迅速,没有明显的并发症。证据等级:4。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信