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June 1994

Surgical Treatment of Obstructive Sleep Apnea-Reply

Author Affiliations

Petah-Tiqva, Israel

Arch Otolaryngol Head Neck Surg. 1994;120(6):679. doi:10.1001/archotol.1994.01880300092026

We have read with interest the letter written by Hasekawa and Makoto regarding our article.1 The points raised are appreciated and we present the following response to their comments.

Obviously the ideal treatment is to cure the symptoms without disturbing other functions. Uvulopalatopharyngoplasty has beneficial symptomatic effect, reduces blood pressure and apnea frequency, improves sleep arterial oxygen saturation, and sleep quality. Whenever the main complaint is snoring, the cure rate is 80% to 90%, whereas in patients who have severe obstructive sleep apnea (OSA) the cure rate is only 65% as evaluated by polysomnography. However, the general subjective improvement due to disappearance of day-drowsiness and tiredness, the amelioration of sexual performance and of sleep rhythm bring the OSA improvement results after uvulopalatopharyngoplasty to 76% in our patients.1

A significant linear relationship was found between both tongue and soft-palate volume and body mass index2 and obese subjects have a larger tongue

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