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February 1992

Clinical Experience With Lingualplasty as Part of the Treatment of Severe Obstructive Sleep Apnea

Author Affiliations

Portsmouth, Va

Arch Otolaryngol Head Neck Surg. 1992;118(2):122-123. doi:10.1001/archotol.1992.01880020014005

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As many as 4% of adults have sleep apnea with all of the morbidity associated with that diagnosis. At the September 1991 meeting of the American Academy of Otolaryngology—Head and Neck Surgery in Kansas City, Mo, Tucker Woodson, MD, Milwaukee, Wis, and Shiro Fujito, MD, Troy, Mich, reported on the use of lingualplasty as part of the treatment of severe obstructive sleep apnea. The authors had previously reported that uvulopalatopharyngoplasty achieved a 50% success rate in mild sleep apnea but a much lower success rate in severe apnea. Although midline glossectomy has been shown to be effective in a certain number of patients with severe obstructive sleep apnea, the results have not been as completely successful as many would wish. For this reason, the authors developed a lingualplasty modification of the midline glossectomy whereby a wedge of tissue is taken out of the tongue lateral to the midline excision of

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