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  Vol. 124 No. 6, June 1998 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Challenges in Otolaryngology
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 •Surgery
 •Laser Surgery
 •Sleep Apnea
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More Data Needed

Arch Otolaryngol Head Neck Surg. 1998;124:722.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

TERRIS and Wang should be applauded for their efforts in reviewing several hundred articles dealing with LAUP. They must have spent many hours reviewing raw data from several articles.

It is revealing that only 10 of some 50 articles presented polysomnographic data addressing the efficacy of LAUP for sleep-related breathing disorders. Snoring is a clue to a much more serious disorder: OSA. It is disturbing to note the lack of objective data presented in the literature.

Obesity is an important factor in sleep-related breathing disorders.1 The authors found only 3 studies that provided data on body mass index. Patients might have had significant changes in their weight, which could affect the results of any surgical interventions.

Also, there is no mention of the patient's oropharyngeal anatomy, especially the presence of large tonsils. It has been demonstrated that tonsils can significantly contribute to sleep-related breathing disorders.2 Procedures intended to improve sleep-related . . . [Full Text of this Article]


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Laser-Assisted Uvulopalatoplasty in Mild Obstructive Sleep Apnea
David J. Terris and Michelle Z. Wang
Arch Otolaryngol Head Neck Surg. 1998;124(6):718-721.
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The Success of LAUP in Select Patients With Sleep-Related Breathing Disorders
Yosef P. Krespi
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