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Re: Re: Re: Midline Glossectomy question

Posted by bostonman on September 24, 2002 at 21:46:57:

In Reply to: Re: Re: Midline Glossectomy question posted by sean on September 24, 2002 at 21:26:48:

While the midline glossectomy is mentioned in the Stanford protocol, it was a Stanford Doc that told me that they rarely consider the procedure due to it's risks and complications. In fact, he said they almost never perform it. As I understand it, phase one typically consists of the GA with either or both the UPPP and hyoid suspension. As to the MMA comparison, the MMA is certainly the most invasive, but it has the lowest bleeding risk of all of the procedures, due to the fact that bleeding, when it occurs, is outside of the airway in the facial structure. When bleeding and/or edema occurs in a post midline situation, it happens half way down the throat and you have a true emergency on your hands, neccesitating immediate trach etc. If tongue based obstruction is the issue, why not look at the procedures most commonly used by Stanford? The UPPP/GA with hyoid suspension is a cure in 67% of patients that undergo it. The GA and hyoid both somewhat ingeniously address the tongue without actually cutting into it. Add the MMA and your'e looking at over 95% success rate.

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Archived Non-CPAP Treatment Forum12 viewing only. To post a new topic go to the Apnea Forum Homepage

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