Surgical approaches to obstructive sleep apnea. Curr Opin Pulm Med 1998 Nov;4(6):344-50
Date
05/17/2000Pubmed ID
10813214DOI
10.1097/00063198-199811000-00007Scopus ID
2-s2.0-0032195186 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
Obstructive sleep apnea results from a combination of a structurally small upper airway and loss of upper airway muscle tone. Surgical therapy is effective by enlarging the upper airway and decreasing collapsibility. Limited palatal surgery has been demonstrated successful for the treatment of snoring but less for the treatment of obstructive sleep apnea. More aggressive multilevel surgeries addressing several airway segments demonstrate improved success rates. Multilevel surgeries and combined with bimaxillary advancement surgery have demonstrated success rates of 90%. New surgical procedures, eg, radiofrequency volume reduction, offer the potential of altering the upper airway with low morbidity. Hypoglossal nerve stimulation is a potential innovative technique.
Author List
Woodson BTAuthor
B Tucker Woodson MD Chief, Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
FemaleHumans
Laser Therapy
Male
Minimally Invasive Surgical Procedures
Pharynx
Prognosis
Sleep Apnea, Obstructive
Treatment Outcome
Uvula