Anatomical and physiological justification of laser sculptural uvulopalatoplasty in rhonchopathy and obstructive sleep apnea syndrome

Purpose: to study anatomical and physiological features of the soft palate in patients with rhonchopathy obstructive sleep apnea (OSA) syndrome so as minimize damage tissue structures during laser uvulopalatoplasty. Material methods. Five hundred twenty-three OSA were examined using index technique for determining neck circumference-height ratio (NHR), pharyngoscopy endoscopy oral pharyngeal cavities. Results. Obstructive is more often met having brachymorphic mesomorphic type their neck. The researchers have found a clear dependence between increase number moderate severe hypertrophy combined ptosis. A cone-shaped depression on anterior surface was noted 80-90 % normal weight (body mass < 25); 40–60 grade I obesity – 30–34.9); 10–15 II 35–39,9); IIIobesity > 40) there no any palate. Patients uncomplicated snoring thick area forma pillow at back sized 1 × 0.5 cm, while this «pillow» up 2 1.5 cm. Conclusion. effectiveness uvulopalatoplasty depends not only adequate choice main parameters irradiation, but also careful consideration functional each operated patient syndrome.