Analysis of the curative effect of partial tongue base midline resection combined with uvulopalatopharyngoplasty in the treatment of type III OSAPENG Lili,YUAN Wei,LI Jinrang,Zou Shizhen,ZHANG Rui,PAN Yufei,ZHANG Rong,YU Leilei,JIA Yuanyuan.
Objectives: To investigate the efficacy of partial resection of tongue base and uvulopalatopharyngoplasty in the treatment of type III OSA.Methods: Twenty patients of type III OSA were enrolled from December 2019 to May 2021, aged 25-70 years, with an average age of 43 years.After admission, relevant examinations were performed to exclude surgery and contraindications of general anesthesia. Partial resection of tongue and tongue base combined with uvulopalatopharyngoplasty was performed for all patients. Polysomnography was repeated in 6-24 months after surgery.Results: 13 patients were effective (65%) and 7 patients were ineffective after surgery, but there were statistically significant differences in preoperative and postoperative ESS scores and clinical symptom scores of these 7 patients (P<0.05).Conclusion: For type III OSA patients, tongue base midline resection combined with uvulopalatopharyngoplasty is a relatively safe and effective surgical method.