Upper airway surgery for obstructive sleep apnea.
نویسنده
چکیده
Upper airway surgical treatments for obstructive sleep apnea syndrome (OSAS) attempt to modify dysfunctional pharyngeal anatomy or by-pass the pharynx. Modifications of the pharynx diminish the bulk of soft tissue structures which abut the air column, place them under tension, others alter their spatial inter-relationships. Surgical procedures are designed to modify the retropalatal pharynx, the retrolingual pharynx, or both. There is no single surgical procedure, short of tracheostomy, which consistently results in complete elimination of OSAS. However, appropriate application of current surgical techniques (synchronously or sequentially) may achieve cure in most patients without resort to tracheostomy. Patient selection, versatility in varied surgical approaches, and willingness to utilize more than one procedure when necessary appear to be critical attributes of a successful surgical program. On the other hand, analysis of the efficacy of individual surgical interventions is thwarted by the frequent practice of reporting on the application of multiple procedures in combination with evaluation of the composite effect. Well designed, multi-center studies would help clarify the strengths and weaknesses of different treatment approaches.
منابع مشابه
Airway Surgery for Obstructive Sleep Apnea and Partial Upper Airway Obstruction during Sleep
5 Perttu Halme Airway surgery for obstructive sleep apnea and partial upper airway obstruction during sleep. Department of Otorhinolaryngology – Head and Neck Surgery, University of Turku, Finland. Annales Universitatis Turkuensis, Ser. D, Medica – Odontologica, 2011, Turku.
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PURPOSE OF REVIEW Obstructive sleep apnea is a common disorder. Despite reports of its role as a risk factor for postoperative morbidity and mortality, only a few investigators have examined the optimal treatment of patients during this vulnerable period. Recognition of obstructive sleep apnea during conscious sedation or in the perioperative period is important to prevent the occurrence of adv...
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ورودعنوان ژورنال:
- Sleep medicine reviews
دوره 6 3 شماره
صفحات -
تاریخ انتشار 2002