Quality of Life Clinical Trial
Official title:
Characterization of the Postoperative Pain Course and Intensity After Uvulopalatoplasty With Radiofrequency Knife (RAUP)
The aim of this study is to determine the postoperative course including effects on the quality of life following soft palate surgery with radiofrequency knife (RAUP).
For the treatment of social snoring one common treatment modality is the surgical
reconstruction of the soft palate. The procedure is a routine operation performed at nearly
all Ear-Nose- and Throat departments in Norway. The surgery is done with local anaesthesia
in an out-patient setting where the patients' postoperative observation at the hospital is
limited to 1-2 hours. As the surgery is done in the sensitive mucosa and palatopharyngeal
musculature the postoperative course might be unpleasant. The patients are therefore in the
need of regular postoperative pain treatment extending into the 2 first weeks after surgery.
At hospitals the uvulopalatoplasty is performed using a radiofrequency knife (RAUP) after
the soft palate has been infiltrated with local anaesthesia (1% xylocain/adrenaline). The
incision is done paramedialy to the uvular base and up into the musculature of the soft
palate then making a smooth arch toward the pharyngeal tonsil upper limit. The then
elongated uvula is amputated to about ½ cm. Occasionally, a suture is placed laterally and
medially to lift the palate and prevent postoperative scaring. Coagulation is done if
necessary with light bipolar diathermy.
As the postoperative course might be unpleasant after RAUP it is of interest to study the
time course and intensity of pain after surgery when using the standardised postoperative
pain treatment at OmniaSykehuset. The result will be useful in future studies looking at
ways to improve the pain treatment after uvulopalatoplasty.
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Observational Model: Cohort, Time Perspective: Prospective
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