Asunto(s)
Técnicas Cosméticas/efectos adversos , Cuerpos Extraños/complicaciones , Ácido Láctico/efectos adversos , Glándula Parótida , Parotiditis/inducido químicamente , Polímeros/efectos adversos , Enfermedad Aguda , Anciano , Mejilla/anatomía & histología , Femenino , Estudios de Seguimiento , Cuerpos Extraños/diagnóstico , Humanos , Inyecciones Intradérmicas , Ácido Láctico/administración & dosificación , Imagen por Resonancia Magnética , Parotiditis/diagnóstico , Poliésteres , Polímeros/administración & dosificación , RecurrenciaRESUMEN
OBJECTIVES: This study was performed to evaluate patient satisfaction after uvulopalatopharyngoplasty (UPPP). METHODS: One hundred forty-five patients returned surveys in an otolaryngology group. The patients had undergone UPPP for snoring, sleep apnea, or both between April 1, 2000, and April 5, 2005. RESULTS: Most patients (103; 78%) reported being satisfied with their surgery, and most (96; 71%) stated that they would choose to have the surgery again. Postoperative improvement was reported by 85% of patients who had surgery for snoring alone, 88% of those who had surgery for sleep apnea alone, and 83% of those who had surgery for both. Patients who had a sleep study before surgery had a satisfaction rate of 90.3%, whereas only 62% of those who did not have a sleep study were satisfied. Fifty-three percent of those who had used continuous positive airway pressure still needed it after the operation. CONCLUSIONS: Most patients who had UPPP were satisfied and would choose to have the surgery again. The most satisfied patients had sleep apnea or sleep apnea and snoring together, as well as a sleep study before surgery. It is important to emphasize that UPPP does not cure everyone of sleep apnea or snoring and that it may not eliminate the need for continuous positive airway pressure.
Asunto(s)
Procedimientos Quirúrgicos Otorrinolaringológicos/normas , Satisfacción del Paciente/estadística & datos numéricos , Faringe/cirugía , Procedimientos de Cirugía Plástica/normas , Encuestas y Cuestionarios , Úvula/cirugía , Estudios de Seguimiento , Humanos , Estudios Retrospectivos , Síndromes de la Apnea del Sueño/cirugía , Ronquido/cirugía , Resultado del TratamientoRESUMEN
In Western populations, tobacco and alcohol use are the major etiologic factors associated with oral cavity cancers. In developing countries of Asia and the South Pacific, however, oral cancer is increasingly associated with the chewing of betel nut. As the population of Asia and the South Pacific immigrates, Head and Neck surgeons in North America are likely to see more patients with oral carcinoma induced by betel nut chewing. Tumor Registry records from 1977-2003 from a tertiary care, referral medical center were reviewed. All patient charts (27) demonstrating betel quid use of greater than 20 years and carcinoma of the upper aerodigestive tract were entered into the study. Five-year disease-free rates by stage were as follows: Stage 1: 100% (2/2); Stage 11: 50% (2/4); Stage III: 36% (4/9): Stage IV: 25% (3/12). Despite the prevalent misperception in the Pacific region that betel nut chewing is a harmless habit, betel nut-induced oral carcinomas are aggressive malignancies requiring aggressive treatment and long-term follow-up.