Arterial Oxygen Saturation (Sa02) Changes Following Pharyngeal Flap Operation
For the evaluation of respiratory function following pharyngeal flap operation, arterial SaO2 was monitored with the use of pulse oxymetry. All of the 6 subjects with snoring during sleep after surgery were selected randomly, and were followed by arterial SaO2 during sleep from 0.00 a. m. to 5 a. m....
Saved in:
| Published in | Journal of Japanese Cleft Palate Association Vol. 17; no. 3; pp. 256 - 263 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Cleft Palate Association
30.07.1992
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-5185 2186-5701 |
| DOI | 10.11224/cleftpalate1976.17.3_256 |
Cover
| Abstract | For the evaluation of respiratory function following pharyngeal flap operation, arterial SaO2 was monitored with the use of pulse oxymetry. All of the 6 subjects with snoring during sleep after surgery were selected randomly, and were followed by arterial SaO2 during sleep from 0.00 a. m. to 5 a. m. for the 1st to 12th postoperation 10 days. The results obtained were as follows, 1. Slightly undulated changes of the mean arterial SaO2 to the normal lower amount (SaO2 94 %)were seen in four out of six patients during sleep in the period from the 2nd to 6th postoperation days. 2. All six patients maintained SaO2 within the normal range during sleep following the 8th postoperation day. These fi ndings may suggest that the pharyngeal flap operation, based on our method, may not cause obstructive sleep apnea, however, the monitoring of respiration for a week after operation may be recommended. |
|---|---|
| AbstractList | For the evaluation of respiratory function following pharyngeal flap operation, arterial SaO2 was monitored with the use of pulse oxymetry. All of the 6 subjects with snoring during sleep after surgery were selected randomly, and were followed by arterial SaO2 during sleep from 0.00 a. m. to 5 a. m. for the 1st to 12th postoperation 10 days.The results obtained were as follows,1. Slightly undulated changes of the mean arterial SaO2 to the normal lower amount (SaO2 94 %)were seen in four out of six patients during sleep in the period from the 2nd to 6th postoperation days.2. All six patients maintained SaO2 within the normal range during sleep following the 8th postoperation day.These fi ndings may suggest that the pharyngeal flap operation, based on our method, may not cause obstructive sleep apnea, however, the monitoring of respiration for a week after operation may be recommended.
咽頭弁移植術は,鼻咽腔閉鎖不全症に起因する呼気の鼻腔漏出や音声の鼻音化の改善に有効な手術法であるが,術式によっては,手術後に閉塞性睡眠時無呼吸症候群の症状を呈し,呼吸機能に及ぼす影響が問題となることがある.今回,咽頭弁移植手術後の睡眠時における呼吸機能の経日的変化を追跡し,その動態を明らかにすることを目的として以下の研究を行った.ロ蓋粘膜弁法に組織接着剤を併用した咽頭弁移植手術施行症例の中から,術後に臨床所見として著明な軒が認められた6症例を対象として,術後約2週間,午前0時から午前5時までの睡眠時,経日的に動脈血酸素飽和度を測定し呼吸機能の変化を検討した.その結果,以下の結果を得た.1.動脈血酸素飽和度計測値は咽頭弁移植術後の6日目までの間,症例によっては一過性に正常値下限(94%)を下まわる所見が認められた.2.術後8日目以降では,全ての症例で動脈血酸素飽和度計測値は正常範囲にあり,安定した推移を示した. For the evaluation of respiratory function following pharyngeal flap operation, arterial SaO2 was monitored with the use of pulse oxymetry. All of the 6 subjects with snoring during sleep after surgery were selected randomly, and were followed by arterial SaO2 during sleep from 0.00 a. m. to 5 a. m. for the 1st to 12th postoperation 10 days. The results obtained were as follows, 1. Slightly undulated changes of the mean arterial SaO2 to the normal lower amount (SaO2 94 %)were seen in four out of six patients during sleep in the period from the 2nd to 6th postoperation days. 2. All six patients maintained SaO2 within the normal range during sleep following the 8th postoperation day. These fi ndings may suggest that the pharyngeal flap operation, based on our method, may not cause obstructive sleep apnea, however, the monitoring of respiration for a week after operation may be recommended. |
| Author | HARA, Hisanaga TACHIMURA, Takashi WADA, Takeshi SATOH, Koichi |
| Author_FL | 原 久永 佐藤 耕一 舘村 卓 和田 健 |
| Author_FL_xml | – sequence: 1 fullname: 原 久永 – sequence: 2 fullname: 舘村 卓 – sequence: 3 fullname: 和田 健 – sequence: 4 fullname: 佐藤 耕一 |
| Author_xml | – sequence: 1 fullname: HARA, Hisanaga organization: Division for Oral-Facial Disorders, Osaka University Faculty of Dentistry – sequence: 1 fullname: TACHIMURA, Takashi organization: Division for Oral-Facial Disorders, Osaka University Faculty of Dentistry – sequence: 1 fullname: WADA, Takeshi organization: Division for Oral-Facial Disorders, Osaka University Faculty of Dentistry – sequence: 1 fullname: SATOH, Koichi organization: Division for Oral-Facial Disorders, Osaka University Faculty of Dentistry |
| BackLink | https://cir.nii.ac.jp/crid/1390282680428119936$$DView record in CiNii |
| BookMark | eNpdUNFKw0AQPKSCtfYfIvigD6l3e8nd5bEUq0KlQvt-bJJNeiVeShLR_r1XKgi-zC7DzDI712zkW0-M3Qo-EwIgeSwaqoYDNjiQyLSaCT2TFlJ1wcYgjIpTzcWIjbk87cKkV2za93vOuQSpNMgxe5t3A3UOm2j9fazJRxscPjscXOuj-w1yeIgWO_Q19dGybZr2y_k6et9hdwxccC0bPETrA50tN-yywqan6e-csO3yabt4iVfr59fFfBXvs1TFiQBURVGWVY5pmpSQZEQkNUmuE8AqV2R4KSqNgcAcizKtytxwQpAGE5ATdnc-652zhTuhkBkHA8rwBIwQWSZVkL2eZft-wJrsoXMfIbjFbnChOfuvPSu0lScIBf5pwquWvPwBfIpvKA |
| ContentType | Journal Article |
| Copyright | Japanese Cleft Palate Association |
| Copyright_xml | – notice: Japanese Cleft Palate Association |
| DBID | RYH |
| DOI | 10.11224/cleftpalate1976.17.3_256 |
| DatabaseName | CiNii Complete |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitleAlternate | 第-報:睡眠時動脈血酸素飽和度の経日的変化について 咽頭弁移植手術後における睡眠時呼吸動態の経日的変化 |
| DocumentTitle_FL | 咽頭弁移植手術後における睡眠時呼吸動態の経日的変化 |
| EISSN | 2186-5701 |
| EndPage | 263 |
| ExternalDocumentID | 130004586328 article_cleftpalate1976_17_3_17_256_article_char_en |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS JSP KQ8 RJT RYH |
| ID | FETCH-LOGICAL-j956-412a6ccddfba554d249eee37e30742afb6e80d1f7a307abacd5fdb80ea238a423 |
| ISSN | 0386-5185 |
| IngestDate | Thu Jun 26 23:49:58 EDT 2025 Wed Sep 03 06:07:26 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | false |
| Issue | 3 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j956-412a6ccddfba554d249eee37e30742afb6e80d1f7a307abacd5fdb80ea238a423 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/cleftpalate1976/17/3/17_256/_article/-char/en |
| PageCount | 8 |
| ParticipantIDs | nii_cinii_1390282680428119936 jstage_primary_article_cleftpalate1976_17_3_17_256_article_char_en |
| PublicationCentury | 1900 |
| PublicationDate | 1992/07/30 |
| PublicationDateYYYYMMDD | 1992-07-30 |
| PublicationDate_xml | – month: 07 year: 1992 text: 1992/07/30 day: 30 |
| PublicationDecade | 1990 |
| PublicationTitle | Journal of Japanese Cleft Palate Association |
| PublicationTitleAlternate | J.Jpn.Cleft Palate Assoc. |
| PublicationTitle_FL | J.Jpn.Cleft Palate Assoc 日口蓋誌 日本口蓋裂学会雑誌 |
| PublicationYear | 1992 |
| Publisher | Japanese Cleft Palate Association |
| Publisher_xml | – name: Japanese Cleft Palate Association |
| References | 5)福井俊夫: 02分圧, 02飽和度. 日本臨床, 43: 475-477, 1985. 7) Kravath, R. E., Pollak, C. P., Borowiecki, B., et al: Obstructive sleep apnea and death as s ociated with surgical correction of velopharyng e al incompetence. J. Pediatr., 96: 645 -648, 1980. 15)古賀慶次郎: 小児の睡眠時無呼吸症候群. 耳喉頭頸, 61: 695-701, 1989. 4) Remmers, J. E., de Groot, W. J., Sauerland, E. K., et al: Pathogenesis of upper air way occlusion during sleep. J. Appl. Physiol., 4 4931-938, 1978. 6) Orr, VV-. C., Levine, N. S. and Buchanan, R. T.: Effect of cleft palate repair and pharyngea l flap surgery on upper airway obstruction during sleep. Plast. Reconstr. Surg., 80: 226-232, 1987. 2)舘村卓, 和田健: 口蓋粘膜弁法とフィブリン接着剤を適用した咽頭弁移植術. 日口蓋誌, 14: 391-401, 1989. 11) Fletcher, E. C., Miller, J., Divine, G. W., et al: Nocturnal oxyhemoglobin desaturation in COPD patients with arterial oxygen tensions above 60mmHg. Chest, 92: 604-608, 1987. 14)杉田義郎, 豊島愛雄, 西村信哉, 他: 睡眠時無呼吸症候群の物理的, 外科的治療. 臨床精神医学, 14: 1797-1804, 1985. 9)安間文彦, 岡田保, 都築雅人, 他: 睡眠時無呼吸症候群のスクリーニング: 呼吸曲線入カホルター型携帯用心電計と経皮的動脈血酸素飽和度の測定を用いて. 呼吸と循環, 36: 189-193, 1988. 10) Strohl, K. P., Cherniack, N. S. and Gothe, B.: Physiologic basis of therapy for sleep apnea.: state of art. Am. Rev. Respir. Dis., 134: 791-802, 1986. 12) Farney, R. J., Walker, L. E., Jensen, R. J., et al: Ear oximetry to detect apnea and differentiate rapid eye movement (REM) and non-REM (NREM) sleep. Chest, 89: 533-539,1986. 8)舘村卓, 和田健, 浜口裕弘, 他: 咽頭弁移植術術後に発現した睡眠時無呼吸症候群の一症例と軟口蓋挙上装置の効果について. 日口蓋誌, 15: 29-44, 1988. 1) Guilleminault, C., Tilkian, A. and Dement, W. C.: The sleep apnea syndrome. Rev. Me d., 27: 465-484, 1976. 3) Warren, D. W.: Nasal emission of air and velopharyngeal function. Cleft Palate J., 4: 1 48-156, 1967. 13) Zwillich, C. W., Pickett, C., Hanson, F. N., et al: Disturbed sleep and prolonged apnead uring nasal obstruction in normal men. Am. Rev. Respir. Dis., 124: 158-160, 1981. |
| References_xml | – reference: 5)福井俊夫: 02分圧, 02飽和度. 日本臨床, 43: 475-477, 1985. – reference: 6) Orr, VV-. C., Levine, N. S. and Buchanan, R. T.: Effect of cleft palate repair and pharyngea l flap surgery on upper airway obstruction during sleep. Plast. Reconstr. Surg., 80: 226-232, 1987. – reference: 9)安間文彦, 岡田保, 都築雅人, 他: 睡眠時無呼吸症候群のスクリーニング: 呼吸曲線入カホルター型携帯用心電計と経皮的動脈血酸素飽和度の測定を用いて. 呼吸と循環, 36: 189-193, 1988. – reference: 8)舘村卓, 和田健, 浜口裕弘, 他: 咽頭弁移植術術後に発現した睡眠時無呼吸症候群の一症例と軟口蓋挙上装置の効果について. 日口蓋誌, 15: 29-44, 1988. – reference: 1) Guilleminault, C., Tilkian, A. and Dement, W. C.: The sleep apnea syndrome. Rev. Me d., 27: 465-484, 1976. – reference: 11) Fletcher, E. C., Miller, J., Divine, G. W., et al: Nocturnal oxyhemoglobin desaturation in COPD patients with arterial oxygen tensions above 60mmHg. Chest, 92: 604-608, 1987. – reference: 14)杉田義郎, 豊島愛雄, 西村信哉, 他: 睡眠時無呼吸症候群の物理的, 外科的治療. 臨床精神医学, 14: 1797-1804, 1985. – reference: 10) Strohl, K. P., Cherniack, N. S. and Gothe, B.: Physiologic basis of therapy for sleep apnea.: state of art. Am. Rev. Respir. Dis., 134: 791-802, 1986. – reference: 12) Farney, R. J., Walker, L. E., Jensen, R. J., et al: Ear oximetry to detect apnea and differentiate rapid eye movement (REM) and non-REM (NREM) sleep. Chest, 89: 533-539,1986. – reference: 15)古賀慶次郎: 小児の睡眠時無呼吸症候群. 耳喉頭頸, 61: 695-701, 1989. – reference: 4) Remmers, J. E., de Groot, W. J., Sauerland, E. K., et al: Pathogenesis of upper air way occlusion during sleep. J. Appl. Physiol., 4 4931-938, 1978. – reference: 2)舘村卓, 和田健: 口蓋粘膜弁法とフィブリン接着剤を適用した咽頭弁移植術. 日口蓋誌, 14: 391-401, 1989. – reference: 13) Zwillich, C. W., Pickett, C., Hanson, F. N., et al: Disturbed sleep and prolonged apnead uring nasal obstruction in normal men. Am. Rev. Respir. Dis., 124: 158-160, 1981. – reference: 7) Kravath, R. E., Pollak, C. P., Borowiecki, B., et al: Obstructive sleep apnea and death as s ociated with surgical correction of velopharyng e al incompetence. J. Pediatr., 96: 645 -648, 1980. – reference: 3) Warren, D. W.: Nasal emission of air and velopharyngeal function. Cleft Palate J., 4: 1 48-156, 1967. |
| SSID | ssj0003236723 ssib002828992 |
| Score | 1.2880739 |
| Snippet | For the evaluation of respiratory function following pharyngeal flap operation, arterial SaO2 was monitored with the use of pulse oxymetry. All of the 6... |
| SourceID | nii jstage |
| SourceType | Publisher |
| StartPage | 256 |
| SubjectTerms | obstructive sleep apnea syndrome oxygen saturation pharyngeal flap operation snoring velopharyngeal incompetence 動脈血酸素飽和度 咽頭弁移植術 軒 閉塞性睡眠時無呼吸症候群 鼻咽腔閉鎖不全症 |
| Title | Arterial Oxygen Saturation (Sa02) Changes Following Pharyngeal Flap Operation |
| URI | https://www.jstage.jst.go.jp/article/cleftpalate1976/17/3/17_256/_article/-char/en https://cir.nii.ac.jp/crid/1390282680428119936 |
| Volume | 17 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | Journal of Japanese Cleft Palate Association, 1992/07/30, Vol.17(3), pp.256-263 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 2186-5701 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0003236723 issn: 0386-5185 databaseCode: KQ8 dateStart: 19760101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fb9MwELa6ISFeEAgQA4aMxAMoSqmdxEkfQ6Eqm0qBZtLeIv-KaKnaqnSC8RfwZ3OXuEmgIAYvVnVJ48TfF9-d47sj5GnR14lQPPBBtRs_5Jr5kguMAikYs4zrfpmuafxWjM7Ck_PovNP53tq1dLFVXf3tt3El_4MqyABXjJL9B2Tri4IAfgO-0ALC0F4J4xT3Y-KS9-TrJZzkTTFL5w7RZCox7WnfBRB89oYA-eoLLg28-yg3lyCDfw4Xcu1N1nbTILRvqp6ARsVKld5gYYstWJ0LsFD3kEVypB9SzDyCe2rq-T5LB6M34zM4kslPWLupVgTpq1JmW7Jpmk1G3ulqpp3MuBC9cveq-7hSaosr3ZOL2UqEH7GqaE89H8ct3gXtyTUSLT3Nq4lxXwWAUQLAaex8XfbNwOTqsrgb5PUVfsqwjV_08HuxCHhyQK5x0A9YBOT0fcsRKx1TXq_eBZj4jle1t90jXCdPdt2_-FPnYObMwejHbA4Hy9msZclkt8hNhytNKz7dJp25vEPGOy7Riku04RJ9hkx6Th2PaM0j2vCIIo9ozaO7JBu-zgYj35Xa8OeYiDJkXAqtjSmUBPvSgE9urQ1iG-DSiSyUsEnPsCKWIJBKahMVRiU9K8Hik2CR3yOHy9XS3ie0r3sGZnYNfnUU2rCXKC2VZtokoQwjFR-Rl9UQ5OsqnUruXp_8l0HLWZwH2MC4NefAc8Gbf0SOYfhyPcMWfBjERyTo_jPckCoe_OX4Q3KjIe4jcrjdXNhjMC636nGJ-w9p8Hdq |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Arterial+Oxygen+Saturation+%28Sa02%29+Changes+Following+Pharyngeal+Flap+Operation&rft.jtitle=Journal+of+Japanese+Cleft+Palate+Association&rft.au=HARA+Hisanaga&rft.au=TACHIMURA+Takashi&rft.au=WADA+Takeshi&rft.au=SATOH+Koichi&rft.date=1992-07-30&rft.pub=Japanese+Cleft+Palate+Association&rft.issn=0386-5185&rft.volume=17&rft.issue=3&rft.spage=256&rft.epage=263&rft_id=info:doi/10.11224%2Fcleftpalate1976.17.3_256&rft.externalDocID=130004586328 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0386-5185&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0386-5185&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0386-5185&client=summon |