ABSTRACT
Ideally, the goal of surgery for SDB would be procedures that result in 80% success. In the absence of that simple procedure, stratification of patients that allows for preoperative selection will in effect result in 80% success. Obviously, only 25% of patients suffering from SDB can achieve this result with UPPP as an isolated procedure. Seventy-five percent of patients should not be treated with UPPP as an isolated curative surgical procedure. Patients with stage II and stage III disease should have adjunctive procedures to address their hypopharynx if surgery is contemplated. Depending on surgeon bias and patient selection, some of them may require tongue-base advancement procedures or maxillary mandibular advancement procedures. If patients with stage III disease are treated with UPPP alone they should be forewarned that they likely will need secondary procedures since the likelihood of initial success is less than 10%.
