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  • Cited by 3
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    MacKay, Stuart G. and Chan, Lyndon 2016. Surgical Approaches to Obstructive Sleep Apnea. Sleep Medicine Clinics,

    Youngs, Robin and Fisher, Edward 2015. Reaching a wider audience. The Journal of Laryngology & Otology, Vol. 129, Issue. 01, p. 1.

    Booth, A. J. Djavadkhani, Y. and Marshall, N. S. 2014. A critical review of the treatment options available for obstructive sleep apnoea: an overview of the current literature available on treatment methods for obstructive sleep apnoea and future research directions. Bioscience Horizons, Vol. 7, p. hzu011.


Beyond uvulopalatopharyngoplasty for obstructive sleep apnoea: single surgeon case series of contemporary airway reconstruction

  • S G MacKay (a1) (a2), N Jefferson (a1) and N S Marshall (a3)
  • DOI:
  • Published online: 13 December 2013

Adult patients with obstructive sleep apnoea can be a therapeutic surgical challenge if other treatments fail or are rejected. We report the outcomes of a series of 17 patients for whom standard device-based treatments failed or could not be used. These patients were considered unsuitable for a lesser operation and therefore underwent multilevel upper airway reconstruction.


Data from 17 consecutive patients were collected prospectively. This included pre- and post-surgery findings for clinical assessments, body mass index, sleep questionnaires, and laboratory polysomnograms. Patients underwent a combination of modified uvulopalatopharyngoplasty, transpalatal advancement and various tongue reduction procedures.


Analyses revealed statistically and clinically significant reductions in: mean apnoea-hypopnoea index scores (from 36.3 pre-operatively to 14.5 post-operatively, p < 0.001), mean Epworth sleepiness scale scores (from 11.3 to 5.3, p < 0.001) and mean snoring severity scores (from 6.9 to 1.3, p < 0.001). Body mass index remained unchanged.


Multilevel upper airway reconstructive surgery was associated with large reductions in both objective and patient-centred subjective measures of obstructive sleep apnoea severity.

Corresponding author
Address for correspondence: Associate Prof S G MacKay, 1–2, 8–10 Victoria St, Wollongong, NSW, Australia2500 Fax: +61 2 4227 6292 E-mail:
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Presented orally at the World Congress of Sleep Apnea (ENT Free Papers session 1), 27 August – 1 September 2012, Rome, Italy.

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4E Weaver . Judging sleep apnea surgery. Sleep Med Rev 2010;14:281–5

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15M Friedman , H Ibrahim , NJ Joseph . Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope 2004;114:454–9

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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