Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
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چکیده
When Policy Topic is covered Uvulopalatopharyngoplasty (UPPP) may be considered medically necessary for the treatment of clinically significant obstructive sleep apnea syndrome (OSA) in appropriately selected adult patients who have not responded to or do not tolerate nasal continuous positive airway pressure (CPAP). Clinically significant OSA is defined as those patients who have: Apnea/hypopnea index (AHI) or respiratory disturbance index (RDI) greater than or equal to 15 events per hour, or AHI or RDI greater than or equal to 5 events and less than or equal to 14 events per hour with documented symptoms of excessive daytime sleepiness, impaired cognition, mood disorders or insomnia, or documented hypertension, ischemic heart disease, or history of stroke.
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I. POLICY Pharyngometry and rhinometry are considered investigational as techniques for screening, diagnosis, or treatment planning in persons with known or suspected obstructive sleep apnea (OSA) and for all other indications. There is insufficient evidence to support a conclusion concerning the health outcomes or benefits associated with these procedures Cross-references MP 2.045 Diagnosis an...
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Sleep-related breathing disorders range from habitual snoring to severe obstructive sleep apnea syndrome. The prevalence of habitual snoring is high and up to 60 % depending on age, sex and body weight. However, in contrast to habitual snoring obstructive sleep apnea syndrome may be associated with medical complications. The prevalence of obstructive sleep apnea is 2 – 5 % of the adult populati...
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The past decade has seen several innovations in the surgical techniques available for treatment of patients with sleep-disordered breathing. Outpatient techniques such as laser-assisted uvulopalatoplasty (LAUP) and more aggressive procedures designed to address hypopharyngeal and base of tongue obstruction (genioglossus advancement and hyoid myotomy) have been developed and proven successful. W...
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