Publications by authors named "Esa Laurikainen"

4 Publications

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LUPP relieves partial upper airway obstruction during sleep in patients with velopharyngeal narrowing.

Acta Otolaryngol 2010 May;130(5):614-9

Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Turku, Finland.

Conclusion: Patients with upper airway narrowing at the soft palate level and partial upper airway obstruction during sleep seem to benefit from laser-assisted uvulopalatoplasty (LUPP) in terms of decreased velopharyngeal collapsibility and improved nocturnal breathing.

Objectives: The current operative treatments for obstructive sleep apnea syndrome (OSAS) are not very effective compared with continuous positive airway pressure (CPAP). It has been suggested that active treatment should be performed earlier, when sleep apnea is present in a milder form. The main problem is identifying progressive sleep apnea. The present study assessed the efficacy of LUPP in patients with partial upper airway obstruction during sleep diagnosed by means of a static charge-sensitive bed (SCSB) combined with oxyhemoglobin desaturation recording and digital fluoroscopy-based collapsibility estimation.

Methods: LUPP was carried out in 27 patients under local anesthesia as day surgery. Digital fluoroscopy and SCSB were recorded preoperatively and 6 months after LUPP.

Results: Partial upper airway obstruction events and arterial oxyhemoglobin desaturations during sleep decreased significantly. Digital fluoroscopy revealed that the minimal anteroposterior dimension increased and collapsibility decreased at the level where velopharyngeal obstruction occurred, the soft palate.
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http://dx.doi.org/10.3109/00016480903311872DOI Listing
May 2010

Stability of memory traces for speech sounds in cochlear implant patients.

Logoped Phoniatr Vocol 2002 ;27(3):132-8

Department of Audiology, Turku University Hospital, Kiinamyllynkatu 3, 20100 Turku, Finland.

For this study, we examined the perception and production of vowels by postlingually deafened patients with cochlear implant. Four patients and one normally hearing subject produced typical vowel sounds of Finnish by using a speech synthesizer. Also acoustic analyses of the pronounced vowels were made. The first (F1) and the second (F2) formant frequencies were measured. The mismatch negativity (MMN), a cortical cognitive auditory event related potential, was used to measure objectively the patients' preattentive discrimination of a prototypical /i/ sound from deviants differing in the F2 continuum. In the phonetic tests the hyperspace effect was seen also among the patients. The MMN, which reflects the phonetic discrimination ability, could be identified from the patient with the best vowel perception abilities. The phonetic memory traces once developed for vowels seem to remain quite stable even though they have not been activated by vowel information for years.
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http://dx.doi.org/10.1080/140154302760834868DOI Listing
April 2003

Effect of blood loss on vascular responsiveness in pedicled groin flaps in a rat model.

J Reconstr Microsurg 2002 Oct;18(7):599-608

Department of Otorhinolaryngology, Turku University Central Hospital, Turku, Finland.

Using the clamping method (closing and opening the flap feeding artery) and continuous laser Doppler flowmetry, the effects of blood withdrawals on flap blood flow and on active and passive mechanisms regulating it were investigated in 12 Sprague-Dawley rats. Measurements were made during stable normovolemic conditions, during hypovolemia (after 3 ml/kg and after 6 ml/kg blood withdrawal), and after retransfusion of the shed blood. The continuous blood flow responses during and after the clamping procedure were analyzed. After clamp release, the increase in blood flow, duration of overshoot, and peak flow of overshoot were significantly greater (the level of significance was set equal to 0.05) in the registrations performed after blood withdrawals than before them. The post-ischemic response curves indicating significantly increased flap hyperemia during reperfusion in the registrations after blood withdrawals may be associated with decreased vascular resistance in the flap. Thus, the authors conclude that a short-term decrease in blood pressure caused by blood loss may prepare the flap microcirculation for tolerating more ischemia.
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http://dx.doi.org/10.1055/s-2002-35099DOI Listing
October 2002

Effect of acute ischemic preconditioning on blood-flow response in the epigastric pedicled rat flap.

J Reconstr Microsurg 2002 Jan;18(1):61-8

Department of Otorhinolaryngology, Turku University Central Hospital, Finland.

Research in the field of microvascular surgery has shown that ischemic preconditioning (repeated brief episodes of feeding artery occlusions followed by reperfusion) improves flap survival. The authors used a custom-designed clamping method and laser Doppler flowmetry to investigate changes in blood flow (BF) responses, either with acute ischemic preconditioning or without it. The animal model used was the partially elevated epigastric flap of adult Sprague-Dawley rats. In the preconditioned group (n=12), the flaps underwent preconditioning with three cycles of 10-min of feeding artery clamping, followed by 10 min of reperfusion, for a total preconditioning period of 1 hr. In the control group (n=12), the flaps were perfused without clamping for 1 hr. All the flaps underwent occlusion of the feeding artery for 15, 30, 60, 120 and 180 sec to observe the changes in the BF responses, 60 min and 150 min after flap elevation. To compare the responses between preconditoned and control groups the BF responses were analyzed during the overshoot period (i.e., BF being above the baseline after different feeding artery occlusion periods). Statistical analysis of the responses showed that the magnitude of increase in BF after clamp release (p<0.001), the duration of overshoot (p=0.014), and the amplitude of overshoot after clamp release (p=0.002) were statistically significantly greater in the preconditioned group than in the control group. The results suggest that vessels and their responses to change in perfusion pressure are involved in the multifactorial process of the ischemia-protective effect caused by acute ischemic preconditioning. As far as is known, this is the first report showing changes in flap vascular responses after acute ischemic preconditioning.
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http://dx.doi.org/10.1055/s-2002-19717DOI Listing
January 2002