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Palate Postoperative Problems Score in the early post-operative period of modified barbed reposition pharyngoplasty and tonsillectomy

Published online by Cambridge University Press:  29 July 2025

Kübra Aktan Gökduman Open the ORCID record for Kübra Aktan Gökduman [Opens in a new window]  and
Cüneyt Orhan Kara
Kübra Aktan Gökduman*
Affiliation:
Department of Otorhinolaryngology, Pamukkale University, Denizli, Türkiye
Cüneyt Orhan Kara
Affiliation:
Department of Otorhinolaryngology, Pamukkale University, Denizli, Türkiye
*
Corresponding author: Kübra Aktan Gökduman; Email: kbraktann@gmail.com
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Abstract

Objectives

To evaluate early postoperative complaints using the Palate postoperative Problems Score in patients undergoing modified barbed reposition pharyngoplasty with tonsillectomy and tonsillectomy alone.

Methods

The study included 40 patients who underwent modified barbed reposition pharyngoplasty with tonsillectomy and 18 patients who had tonsillectomy alone. Patients completed the Palate Postoperative Problems Score questionnaire at the first, third and sixth months post-operatively, and changes in their complaints were observed. Additional data included the Epworth Sleepiness Scale and sleep parameters (apnea-hypopnea Index, body mass index and oxygen saturation).

Results

In the modified barbed reposition pharyngoplasty group, Palate Postoperative Problems Scores decreased significantly from 8.85 (month 1) to 4.07 (month 6). The tonsillectomy group also showed significant improvement (from 5.28 to 2.61 by month 3).

Conclusion

The Palate Postoperative Problems Score questionnaire is an effective tool for assessing post-operative symptoms after palate surgery. Repeated use enables monitoring of patient recovery and the impact of tonsillectomy should be considered in Palate Postoperative Problems Score-based evaluations.

Keywords

quality of lifeobstructive sleep apnoeatonsillectomyswallowingdysphagiadeglutition disorders

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 11 , November 2025 , pp. 1070 - 1075
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Kübra Aktan Gökduman takes responsibility for the integrity of the content of the paper

References

Li, KK, Riley, R, Powell, N. Complications of obstructive sleep apnea surgery. Oral Maxillofac Surg Clin North Am.2003;15:309–21CrossRefGoogle ScholarPubMed
Pang, KP, Vicini, C, Montevecchi, F, Piccin, O, Chandra, S, Yang, HC, et al. Long-term complications of palate surgery: a multicenter study of 217 patients. Laryngoscope 2020;130:1280–5CrossRefGoogle ScholarPubMed
Rashwan, MS, Montevecchi, F, Firinua, E, Dachuri, S, Obaidat, H, Gobbi, R, et al. Let’s know from our patients: PPOPS score for palate surgery evaluation – a pilot study. Eur Arch Otorhinolaryngol 2018;275:287–91CrossRefGoogle ScholarPubMed
Güler, İ, Kuzucu, İ, Baklacı, D, Kum, RO, Kum, NY, Özcan, M. Efficiency of expansion sphincter pharyngoplasty in the treatment of obstructive sleep apnea syndrome. Turk Arch Otorhinolaryngol 2018;56:200–5Google ScholarPubMed
Pang, KP, Woodson, BT. Expansion sphincter pharyngoplasty: a new technique for the treatment of obstructive sleep apnea. Otolaryngol Head Neck Surg 2007;137:110–14CrossRefGoogle ScholarPubMed
Neruntarat, C, Khuancharee, K, Saengthong, P. Barbed reposition pharyngoplasty versus expansion sphincter pharyngoplasty: a meta-analysis. Laryngoscope 2021;131:1755–63CrossRefGoogle ScholarPubMed
Babademez, MA, Gul, F, Teleke, YC. Barbed palatoplasty vs expansion sphincter pharyngoplasty with anterior palatoplasty. Turk Arch Otorhinolaryngol 2020;58:15–20Google Scholar
Iannella, G, Vallicelli, B, Magliulo, G, Cammaroto, G, Meccariello, G, De Vito, A et al. Long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome treatment. Int J Environ Res Public Health 2020;17:7241CrossRefGoogle ScholarPubMed
Modica, DM, Lorusso, F, Presti, G, Fasola, S, Gallina, S. Our assessment using Palate Postoperative Problems Score (PPOPS): tool for the evaluation of results in palatal surgery techniques. Indian J Otolaryngol Head Neck Surg 2019;71:1260–6CrossRefGoogle ScholarPubMed
Iannella, G, Lechien, JR, Perrone, T, Meccariello, G, Cammaroto, G, Cannavicci, A, et al. Barbed reposition pharyngoplasty (BRP) in obstructive sleep apnea treatment: state of the art. Am J Otolaryngol. 2022;43:103295CrossRefGoogle ScholarPubMed
Vaiman, M, Gavrieli, H. Complex evaluation of pain after tonsillectomy. Acta Otolaryngol. 2007;127:1110–15CrossRefGoogle ScholarPubMed
Ovesen, T, Kamarauskas, A, Hlidarsdottir, T, Dahl, MR, Mainz, J. Good long-term results after tonsillectomy in ear, nose and throat practices. BMC Ear Nose Throat Disord 2013;13:3Google Scholar