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Clinical Challenges in Otolaryngology
June 1998

The Success of LAUP in Select Patients With Sleep-Related Breathing Disorders

Author Affiliations
 

KAREN H.CALHOUNMDRONALD B.KUPPERSMITHMD

Arch Otolaryngol Head Neck Surg. 1998;124(6):721-722. doi:10.1001/archotol.124.6.721

IN THEIR review article, Terris and Wang present a thorough review of LAUP in patients with sleep-related breathing disorders. The results of their search underscored a lack of prospective randomized data, which could effectively eliminate all biases. It is difficult for surgeons to perform a postoperative polysomnographic evaluation in a double-blind fashion to conclude about the impact of LAUP on patients with mild OSA. In evaluating the 5 published studies that contained subjective polysomnographic data, Terris and Wang conclude that LAUP appeared efficacious in treating mild OSA. Laser-assisted uvulopalatoplasty should be defined as a limited office or ambulatory procedure performed using local or topical anesthesia. This technique should not be confused with various types of LAUP performed with lasers in a conventional operating room using general anesthesia for more severe cases.

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