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Surgical approaches to obstructive sleep apnea. Curr Opin Pulm Med 1998 Nov;4(6):344-50

Date

05/17/2000

Pubmed ID

10813214

DOI

10.1097/00063198-199811000-00007

Scopus ID

2-s2.0-0032195186 (requires institutional sign-in at Scopus site)   7 Citations

Abstract

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 BT

Author

B Tucker Woodson MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Female
Humans
Laser Therapy
Male
Minimally Invasive Surgical Procedures
Pharynx
Prognosis
Sleep Apnea, Obstructive
Treatment Outcome
Uvula