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DIATHERMY ASSISTED UVULO-PALATOPLASTY DAUP

Diathermy assisted Uvulo-Palatoplasty. .

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DIATHERMY ASSISTED UVULO-PALATOPLASTY DAUP

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    1. DIATHERMY ASSISTED UVULO-PALATOPLASTY (DAUP) Prof. Hamad Al Muhaimeed and Dr. Saad Al Garni

    2. Diathermy assisted Uvulo-Palatoplasty Snoring - common problem - socio-medical manifest 25%M, 15%F - snore habitually (Laryngo July, 1997) If severe enough - sep. sleeping arrange Non-surgical Rx - minimally successful

    3. Diathermy assisted Uvulo-Palatoplasty The pathophysiology - vibrations uvula, soft palate, T. pillars Therefore surgical Rx - these anatomical areas Ikematsu, 1952 - the first surgical Rx Fujita, et al 1981 - UPPP The standard Rx - until recently

    4. Diathermy assisted Uvulo-Palatoplasty Complications of UPPP includes: Intubation diff. - (full neck, large tounge) Hemorrhage - 2% Postoperative N. regurg. - 20-60% VPI - 0.5% Overnight hospitalization

    5. Diathermy assisted Uvulo-Palatoplasty Electrocautery - out pt. DAUP (CAUP) This altern. to laser: - more economical - doesn't require training - or safety precautions Done under LA, no sedation Quick, easy to perform

    6. Diathermy assisted Uvulo-Palatoplasty 2 full-thickness vertical incisions - free edge of s. palate Approximately 1-1.5 cm - both sides of uvula Uvula is reshaped - length 60-90% Mucosal incisions - first dotting the mucosa Then connecting the lines - incisions (more deeply)

    7. Diathermy assisted Uvulo-Palatoplasty Avoid - collateral burn injury (direct or indirect) Also care - not to cauterize post Ph. wall - or cut into the palatal musc. The uvula - much longer After the lateral troughs are cut

    8. Diathermy assisted Uvulo-Palatoplasty

    9. Diathermy assisted Uvulo-Palatoplasty Table 1. Demographic data by group

    10. Diathermy assisted Uvulo-Palatoplasty Table 2. Duration of pain by group after each procedure

    11. Diathermy assisted Uvulo-Palatoplasty Table 3. Severity of pain by group after each procedure

    12. Diathermy assisted Uvulo-Palatoplasty

    13. Diathermy assisted Uvulo-Palatoplasty

    14. Diathermy assisted Uvulo-Palatoplasty

    15. Diathermy assisted Uvulo-Palatoplasty

    16. Diathermy assisted Uvulo-Palatoplasty Conclusions: Snoring - Extensive changes - Several surgical procedures DAUP - out-patient setting, LA no sedation Safe, effective - reducing both, snoring Results - equivalent to LAUP

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