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Letters to the Editor
January 2002

In reply

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Otolaryngol Head Neck Surg. 2002;128(1):92-93. doi:

My coauthors and I would like to thank Mr Hausner for the vote of confidence in our findings. Yet it is curious that he used a letter regarding our article as a forum to promote radiofrequency thermal ablation (RFTA) at the expense of laser-assisted uvulopalatoplasty (LAUP) and to advance commercial interests. Our study made no attempt to compare laser surgery with RFTA; in fact, the latter was briefly mentioned in the "Comment" section to strengthen our observation that thermal energy may be associated with aggravation of objective sleep parameters. For this purpose, we cited Coleman and Smith,1 who assessed RFTA for snoring and mild sleep-disordered breathing. The authors showed an elevation of postoperative respiratory disturbance index levels in 6 of the 12 patients who were included in their study; in 2 of them, who were preoperatively classified as snorers, worsening was detrimental enough to change the grade of respiratory disturbance index to mild obstructive sleep apnea (ie, it triggered the generation of obstructive sleep apnea).

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