Carbon Dioxide Laser Surgery for Snoring

打鼾之二氧化碳雷射手術

鄭良信(Stephen Liang-Hsin Cheng) ； 梁碩方(Song-Fang Liang) ； 劉明奇(Ming-Chyi Liu) ； 蔡文瑞(Wen-Jui Tsai)

《中華民國耳鼻喉科醫學會雜誌》 30卷6期 (1995/12) Pp. 550-558

https://doi.org/10.6286/1995.30.6.550

摘要

雷射懸雍垂腭咽成形術是針對習慣性大鼾聲的一項新而有效的手術方法，而將近有25%的成人都有打鼾的現象。雷射懸雍垂腭咽成形術是安全而且僅需簡單的局部麻醉，因此可適用於門診手術。藉由懸雍垂、腭帆及咽扁桃柱之重整，雷射懸雍垂腭咽成形術可以加大口咽腔的空間而增加氣流。雷射懸雍垂腭咽成形術能夠使軟腭及懸雍垂變短而且硬，因而減少腭之撲動、振動，使鼾聲下降。所以雷射懸雍垂腭咽成形術對於上呼吸道阻塞症候群及輕度阻塞性睡眠呼吸中止症候群的治療也有很大幫助。
在過去的一年半中，我們的研究小組評估並治療90個病人（117次手術），其中治癒率達80%。另外6%鼾聲下降。雷射懸雍垂腭咽成形術主要的缺點在於有時需要多次的手術及昂貴的設備，並且高度的技術以確保安全。

並列摘要

Laser-assisted uvula-palatoplasty (LAUP) is a new, effective surgical procedure for loud habitual snoring, presumably affecting up to 25% of the adult population. LAUP is a safe, yet simple local anesthesia procedure which can be done in the outpatient setting. LAUP enlarges the oropharynx airspace by reshaping and restructuring the uvula, velum and pharyngotonsillar pillars which can increase air flow. LAUP can also progressively shorten and stiffen the soft palate and uvula, thus eliminating palatal fluttering or vibrations and reduce the amount of snoring produced, and may have a role in upper airway resistance syndrome (UARS) and mild obstructive sleep apnea (OSA).
Our series evaluated and treated 90 patients (117 procedures) over the past one and half years. We had an 80% cure rate of symptoms, with an additional 6% reporting significant reduction in snoring volume. The major disadvantages of LAUP are that it is occasionally a multiple stage operation, CO₂ lasers are costly and are highly technical with multiple safety issues.

並列關鍵字

Laser-assisted uvula-palatoplasty (LAUP) ； habitual snoring