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RECRUITINGINTERVENTIONAL

The Efficacy and Maintain Effect of OPR on OSA Patients After Palatal Surgery

The Efficacy and Maintain Effect of Oropharyngeal Rehabilitation on Obstructive Sleep Apnea Patients After Palatal Surgery

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this clinical trial is to evaluate the maintain effect of palatal surgery and oropharyngeal rehabilitation (OPR) by using the severity of obstructive sleep apnea (OSA), tongue muscle strength and the space of the upper airway in patients with OSA.The main questions it aims to answer are: 1. Will the severity of OSA, tongue muscle strength and the space of upper airway improve more in the palatal surgery combined OPR group than the other two groups? 2. Will The maintain effect of tongue muscle strength and the space of upper airway be better in the palatal surgery combined OPR group? Participants will be divided into 3 groups including palatal surgery combined OPR group, palatal surgery group and OPR group by the doctor's advice and their willingness.The OPR for the treatment groups included three 30-minute sessions of OPR per day, and the exercise would be performed 3-5 days per week for 3 months.

Who May Be Eligible (Plain English)

Who May Qualify: - mild to severe obstructive sleep apnea patients Who Should NOT Join This Trial: - Chronic rhinosinusitis with nasal polyps - Adenoidal hypertrophy - Bilateral tonsile hypertrophy - Morbid Obesity - Drug or alcohol abuse in one year - Pregnancy - Severe lung disease - Heart disease with high risk of exercise - Neuromuscular disease that can't follow the exercise program - Central or mixed sleep apnea Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * mild to severe obstructive sleep apnea patients Exclusion Criteria: * Chronic rhinosinusitis with nasal polyps * Adenoidal hypertrophy * Bilateral tonsile hypertrophy * Morbid Obesity * Drug or alcohol abuse in one year * Pregnancy * Severe lung disease * Heart disease with high risk of exercise * Neuromuscular disease that can't follow the exercise program * Central or mixed sleep apnea

Treatments Being Tested

PROCEDURE

Palatal surgery

Palate surgery has evolved from the ablative partial palate resections, which favored the removal of the soft tissue that obstructed the upper airway (UA), to more recent innovative reconstructive procedures that not only address the level of palatal obstruction, but the type of palatal or lateral pharyngeal wall collapse.

BEHAVIORAL

Oropharyngeal rehabilitation

Oropharyngeal rehabilitation (OPR) focus on the upper airway muscle including tongue muscle, palatal muscles and paryngeal muscles. The OPR for the treatment groups included three 30-minute sessions of OPR per day, and the exercise would be performed 3-5 days per week for 3 months. The performance of the home exercise will also be recorded by the force-sensing resistor. In addition to home exercise sessions, there will also be twice-weekly clinical visits to adjust the contents of OPR program and monitor training progress.

COMBINATION_PRODUCT

Palatal surgery combined oropharyngeal rehabilitation

Participants will receive palatal surgery and post-surgery oropharyngeal rehabilitation (OPR). The palatal surgery and OPR describe as above.

Locations (1)

National Cheng Kung University Hospital
Tainan, Taiwan