What are the AASM recommendations for uvulopalatopharyngoplasty (UPPP) for the treatment of obstructive sleep apnea (OSA)?

Updated: Sep 15, 2020
  • Author: Himanshu Wickramasinghe, MD, MBBS; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

AASM recommendations for UPPP state that "UPPP, with or without tonsillectomy, may be appropriate for patients with narrowing or collapse in the retropalatal region. Good preoperative evaluation does not guarantee surgical success; the effectiveness of the UPPP is variable, and the procedure should be considered when nonsurgical treatment options, such as CPAP, have been considered." It is important to note that enlarged adenoids and tonsils, in the adult OSA patient, are rarely a singular cause of OSA. As such, it is not a recommended surgery alone in the adult OSA patient.


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