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 | Â |
2 | 24 | F | OSA following mandibular setback | Hypertrophic | UPPP | Apnea, snoring improved | n/s | 7.5Â mm | OSA following mandibular setback |
3 | 40 | M | OSA, retrusive chin | Moderately enlarged, low soft palate | UPPP, genioglossus advancement (4Â mm) | Apnea, snoring improved | n/s | n/a | Â |
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 | Â |
5 | 28 | M | OSA, impacted third molars | Hypertrophic | UPPP, third molar extractions | Snoring improved | n/s | n/a | Â |
6 | 45 | M | OSA, KCOT of ant. Maxilla | Hypertrophic | Mass excision, UPPP | Snoring improved | n/s | n/a | Â |
7 | 28 | F | OSA, impacted third molars | Hypertrophic | Third molar extractions | Snoring improved | n/s | n/a | Â |
8 | 21 | M | OSA, tonsillar hypertrophy, cleft lip nose deformity, cleft lip scar | Hypertrophic | Revision cheilorhinoplasty | Snoring improved | n/s | n/a | Â |
9 | 24 | M | OSA, retrusive chin | Hypertrophic, low soft palate | UPPP, genioglossus advancement (6Â mm) | Apnea, snoring improved | n/s | n/a | Â |
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 (4Â 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. 9.5Â mm, Lt. 10.5Â mm) | No signs or symptoms of airway obstruction observed | n/s | Rt. 9.5Â mm, Lt. 10.5Â mm | Preventive measure for post-op airway obstruction |
14 | 32 | M | OSA, retrusive chin | Hypertrophic, low soft palate | UPPP, genioglossus advancement (6Â mm) | Snoring improved | n/s | n/a | Â |
15 | 36 | M | OSA, retrusive chin, retropositioned tongue base | Hypertrophic, low soft palate | UPPP, genioglossus advancement (4Â mm) | Snoring improved | n/s | n/a | Â |
16 | 44 | M | Remaining snore after MMA | Hypertrophic | UPPP, plate removal | Snoring improved | n/s | n/a | Â |
17 | 45 | M | OSA | Hypertrophic, low soft palate | UPPP, genioglossus advancement (4Â mm) | OSA, snoring improved | n/s | n/a | Â |
18 | 63 | M | OSA, retrusive chin | Hypertrophic | UPPP, genioglossus advancement (4Â mm) | OSA, snoring improved | n/s | n/a | Â |
19 | 25 | M | OSA | Hypertrophic | UPPP, genioglossus advancement (4Â mm) | OSA, snoring improved | n/s | n/a | Â |
20 | 30 | M | OSA, retrusive chin | Hypertrophic | UPPP, genioglossus advancement (4Â mm) | OSA, snoring improved | n/s | n/a | Â |
21 | 40 | M | OSA, retrusive chin | Hypertrophic | UPPP, genioglossus advancement (4Â mm) | OSA improved, snoring remains | n/s | n/a | Â |
22 | 25 | M | OSA, retrusive chin, impacted third molar (#38) | Hypertrophic | UPPP, genioglossus advancement (4Â mm), third molar extraction (#38) | OSA, snoring improved | n/s | n/a | Â |
23 | 22 | M | OSA after mandibular setback | Hypertrophic | UPPP, plate removal | OSA, snoring improved | n/s | 11Â mm | OSA following mandibular setback |