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Table 1 Data from chart review

From: Tonsillectomy as prevention and treatment of sleep-disordered breathing: a report of 23 cases

Number

Age at surgery

Sex

Diagnosis

Tonsils and soft palate status

Concomitant surgeries

Surgical outcome

Complications

Amount of mandibular setback

Notes

1

56

M

OSA

Hypertrophic

UPPP

Snoring improved

n/s

n/a

 

2

24

F

OSA following mandibular setback

Hypertrophic

UPPP

Apnea, snoring improved

n/s

7.5 mm

OSA following mandibular setback

3

40

M

OSA, retrusive chin

Moderately enlarged, low soft palate

UPPP, genioglossus advancement (4 mm)

Apnea, snoring improved

n/s

n/a

 

4

55

M

OSA, impacted third molars

Hypertrophic, low soft palate

UPPP, tongue base reduction (RF ablation), third molar extractions

Apnea, snoring improved

n/s

n/a

 

5

28

M

OSA, impacted third molars

Hypertrophic

UPPP, third molar extractions

Snoring improved

n/s

n/a

 

6

45

M

OSA, KCOT of ant. Maxilla

Hypertrophic

Mass excision, UPPP

Snoring improved

n/s

n/a

 

7

28

F

OSA, impacted third molars

Hypertrophic

Third molar extractions

Snoring improved

n/s

n/a

 

8

21

M

OSA, tonsillar hypertrophy, cleft lip nose deformity, cleft lip scar

Hypertrophic

Revision cheilorhinoplasty

Snoring improved

n/s

n/a

 

9

24

M

OSA, retrusive chin

Hypertrophic, low soft palate

UPPP, genioglossus advancement (6 mm)

Apnea, snoring improved

n/s

n/a

 

10

22

M

Mand. Prognathism, anterior open bite, malar depression, hypertrophic tonsils

Hypertrophic

Le Fort I osteotomy, BSSRO setback (Rt. 8 mm, Lt. 7 mm), zygoma augmentation with Medpor, Neurorrhaphy

No signs or symptoms of airway obstruction observed

IAN severance—>neurorhaphy

Rt. 8 mm, Lt. 7 mm

Preventive measure for post-op airway obstruction

11

44

M

OSA, retrusive chin

Moderately enlarged, low soft palate

UPPP, genioglossus advancement (4 mm)

Apnea, snoring improved

n/s

n/a

s/p ENT surgery at different hospital for OSA

12

8

M

VPI, hypertrophic tonsils, cleft lip scar

Hypertrophic

Posterior pharyngeal flap, revision cheiloplasty

No signs or symptoms of airway obstruction observed

n/s

n/a

Preventive measure for post-op airway obstruction

13

27

M

Mandibular prognathism, asymmetry of the jaws, tonsillar hypertrophy

Hypertrophic

Le Fort I osteotomy, BSSRO setback (Rt. 9.5 mm, Lt. 10.5 mm)

No signs or symptoms of airway obstruction observed

n/s

Rt. 9.5 mm, Lt. 10.5 mm

Preventive measure for post-op airway obstruction

14

32

M

OSA, retrusive chin

Hypertrophic, low soft palate

UPPP, genioglossus advancement (6 mm)

Snoring improved

n/s

n/a

 

15

36

M

OSA, retrusive chin, retropositioned tongue base

Hypertrophic, low soft palate

UPPP, genioglossus advancement (4 mm)

Snoring improved

n/s

n/a

 

16

44

M

Remaining snore after MMA

Hypertrophic

UPPP, plate removal

Snoring improved

n/s

n/a

 

17

45

M

OSA

Hypertrophic, low soft palate

UPPP, genioglossus advancement (4 mm)

OSA, snoring improved

n/s

n/a

 

18

63

M

OSA, retrusive chin

Hypertrophic

UPPP, genioglossus advancement (4 mm)

OSA, snoring improved

n/s

n/a

 

19

25

M

OSA

Hypertrophic

UPPP, genioglossus advancement (4 mm)

OSA, snoring improved

n/s

n/a

 

20

30

M

OSA, retrusive chin

Hypertrophic

UPPP, genioglossus advancement (4 mm)

OSA, snoring improved

n/s

n/a

 

21

40

M

OSA, retrusive chin

Hypertrophic

UPPP, genioglossus advancement (4 mm)

OSA improved, snoring remains

n/s

n/a

 

22

25

M

OSA, retrusive chin, impacted third molar (#38)

Hypertrophic

UPPP, genioglossus advancement (4 mm), third molar extraction (#38)

OSA, snoring improved

n/s

n/a

 

23

22

M

OSA after mandibular setback

Hypertrophic

UPPP, plate removal

OSA, snoring improved

n/s

11 mm

OSA following mandibular setback

  1. n/a not applicable, n/s none significant