Temperature-controlled radiofrequency tissue volume reduction in the human soft palate

AE Sher, PB Flexon, D Hillman… - … —Head and Neck …, 2001 - journals.sagepub.com
AE Sher, PB Flexon, D Hillman, B Emery, J Swieca, TL Smith, R Cartwright, E Dierks…
Otolaryngology—Head and Neck Surgery, 2001journals.sagepub.com
OBJECTIVE: To validate the use of temperature-controlled radiofrequency energy applied to
the soft palate in a multicenter setting for reduction of snoring in a minimally morbid manner.
METHODS: Prospective, nonrandomized multicenter study of 113 patients who had a
respiratory disturbance index less than 15 and minimum oxygen saturation not less than
85% and who were seeking treatment for habitual disruptive snoring. Patients were given
either single or multiple lesions to the soft palate during each treatment session. RESULTS …
OBJECTIVE: To validate the use of temperature-controlled radiofrequency energy applied to the soft palate in a multicenter setting for reduction of snoring in a minimally morbid manner.
METHODS: Prospective, nonrandomized multicenter study of 113 patients who had a respiratory disturbance index less than 15 and minimum oxygen saturation not less than 85% and who were seeking treatment for habitual disruptive snoring. Patients were given either single or multiple lesions to the soft palate during each treatment session.
RESULTS: Patients received 1978 J on average with an overall average of 2.4 treatments. Snoring scores went from an average of 7.8 (visual analog scale [VAS], 0–10) pretreatment to 3.2 posttreatment. Pain was minimal, averaging 1.7 (VAS 0–10) on days 1 to 6. Complications were few and transient, and mild.
CONCLUSIONS: The multiple lesion protocol was the most successful; reducing snoring from 7.6 to 2.7, on a VAS with an average of 1232 J delivered over 1.6 treatments. Temperature-controlled radiofrequency was found to be a minimally invasive, well-tolerated procedure that was safe and efficacious in this study group.
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