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The diagnosis of obstructive sleep apnea is being made with increasing frequency and accuracy. It is known that the oropharynx is an important cause of airway obstruction in some patients. While it has been proved that children with obstructive sleep apnea secondary to enlarged tonsils and adenoids can be cured by removing the hypertrophied tonsils and adenoids, in adults the surgical relief of obstructive sleep apnea by oropharyngeal surgery is in its infancy. The article by Simmons et al in this issue of the Archives (p 503) is a welcome addition to the sparse literature. It is a refreshingly candid account of the state of the art of uvulopalatopharyngoplasty (UPPP).
The article divides patients' conditions into two categories: snoring and obstructive sleep apnea. With respect to snoring the results are clear. All eight patients who had the operation for socially unacceptable snoring were cured. Half of the patients who only
COTTON RT. Uvulopalatopharyngoplasty. Arch Otolaryngol. 1983;109(8):502. doi:10.1001/archotol.1983.00800220008002