AIM: Associating those classical surgical techniques, we intend to safely provide what each technique has to offer, introducing the Optical Microscopy in all procedures. MATERIAL AND METHOD: The practical peripheral topodiagnosis was made with well-defined criteria, isolating only the ones labeled as Level 1 by Fujita. Three specific types of techniques were associated. Group A: LAUP (Kamami) + Partial U.P.F.P. (modified Fujita). Group B: LAUP + cryptolysis (Krespi) + Partial U.P.F.P. (modified Fujita). Group C: LAUP + Tonsils Microsurgery (Andréa/Dias) + Partial U.P.F.P. (Modified Fujita). The surgical indications for each group were the following: Group A: Uvula Hypertrophy + palate low placement + lack of Tonsils (grade I). Group B: anatomical parameters equal to Group A + Tonsils atrophy or hypertrophy (grade I). Group C: Uvula and tonsils hypertrophy (grade II and III) + pharynx redundancy. In 38 months, there were 60 operated cases, divided as follows: Group A: 20; Group B: 12 and Group C: 28. RESULT: Clinical improvement occurred in 46 patients (76.67%). The best results were detected in groups A and C. CONCLUSION: Selection in groups of patients with snoring and SOAS (peripheral) labeled as Level 1 of Fujita, considering anatomical and clinical parameters, is the safest for the choice of surgical methods. Thus, by proposing an association of techniques, we have accomplished better results and so we suggest the effective use of this basic protocol in other services.
snoring; obstructive sleep apnea; uvulopalatoplasty
