Comparison Between UPPP and Tonsillectomy in Adult OSA

Randomized Control Study Between Uvulopalatopharyngoplasty and Tonsillectomy in Adult Sleep Apnea Patients

The aim of this randomized control study is to evaluate the effect of tonsillectomy with or without uvulopalatoplasty in treating adults with moderate to severe sleep apnea.

Patients are after baseline PSG 1 included and randomized to either UPPP or TE. They are stratified according to tonsil size, those with size 2 in one group and those with 3-4 in another. They all undergo surgery within two months and thereafter PSG 2 after 6 months and PSG after 4 years. At PSG they fill in questionnaires and measurements of blood pressure.

Inclusion Criteria:

• AHI more than 15
• Friedmans stage I and II
• Tonsil size 2, 3 and 4
• BMI below 34
• Failed use of CPAP and dental device

Exclusion Criteria:

• Severe cardiovascular or neurological disease
• Prefers strongly one surgical method
• ASA IV