Usage of KTP/532 Laser in the Treatment of Obstructive Sleep Apnea Syndrome—Midline Glossectomy—

Katsuhisa Ikeda, Yukio Katori, Akira Shimomura, Hideaki Suzuki, Takeshi Oshima, Hiroyuki Daido, Naoki Inamura, Tomonori Takasaka, Wataru Hida

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

A 31-year-old male with obstructive sleep apnea syndrome was treated with KTP/532 laser midline glossectomy. He had complained of severe snoring and hypersomnolence for 2 years and sleep apnea for 1 year. His apnea index (Al) was 65.0 events/h and the lowest arterial O2 saturation (SaO2) was 44%. Cephalometric analysis and flexible fiberoptic pharyngeal endoscopy during Muller's maneuver indicated that the space-occupying sites responsible for sleep apnea were at two different levels (oropharynx-soft palate and hypopharynx-base of the tongue). The application of KTP/532 laser to midline glossectomy with uvulopalatopharyngoplasty caused slight bleeding but no obvious complications. Postoperative respiratory parameters were greatly improved: Al 5.5 and lowest SaO2 85%. Cephalometric and fiberoptic findings showed an enlarged pharyngeal space at the level of the base of the tongue. Sleep-related complaints disappeared completely.

Original languageEnglish
Pages (from-to)1061-1065
Number of pages5
JournalPractica Oto-Rhino-Laryngologica
Volume88
Issue number8
DOIs
Publication statusPublished - 1995

Keywords

  • 532 laser
  • KTP
  • midline glossectomy
  • obstructive sleep apnea
  • uvulopalatopharyngoplasty

ASJC Scopus subject areas

  • Otorhinolaryngology

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