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[Complications of PPP: prevention and management strategies]
1Department of Otolaryngology, First People's Hospital of Kaifeng, Kaifeng 475000.
Objective:
In order to minimize the complications of palatopharyngoplasty (PPP).
Method:
Perioperative complications of PPP of 110 cases were analysed.
Result:
In our series, the complications included velopharyngeal insufficiency (28 cases), hypertensive crisis (12 cases), respiratory embarrassment (12 cases), wound dehiscence (2 cases), local hemorrhage (1 cases), hypovolemic shock (1 cases) and nasopharyngeal stricture (1 cases).
Conclusion:
It is concluded that prevention is important. Prevention strategies included: 1. Preoperative careful examination; 2. Using local anesthesia; 3. Intraoperative monitor ECG, blood pressure and oxygen saturation; 4. Intraoperative inbreathing oxygen; 5. Staunch blood thoroughly; 6. Postoperative proper treatment with steroid; 7. CPAP treatment should be applied before PPP in the severe OSAS.