Radiofrequency Tissue Effects

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Radiofrequency Tissue Effects

Radiofrequency (RF) energy has been used in medicine for numerous applications, including cutting tissue, vessel coagulation, and tissue volume reduction. There are unipolar, bipolar, and even multipolar devices in use…

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Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep Apnea

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep Apnea

1 Introduction Obstructive sleep apnea (OSA) is a multi-factorial disorder where state-dependent loss of upper airway muscle tone and neuromuscular dysfunction result in cyclical upper airway obstruction during sleep. Hypoglossal…

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Electrical Stimulation of the Upper Airway

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Electrical Stimulation of the Upper Airway

1 Introduction Sleep-disordered breathing results from a combination of factors affecting upper airway patency and the control of ventilation. Although the mechanisms underlying upper airway collapse are incompletely understood, a…

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Endoscopic Coblation Lingual Tonsillectomy

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Endoscopic Coblation Lingual Tonsillectomy

1 Introduction For the clinician and surgeon treating patients with obstructed sleep apnea and related maladies, the retrolingual airway is of great importance. This area, often difficult to examine and…

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Zetapalatopharyn­goplasty (ZPP)

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Zetapalatopharyn­goplasty (ZPP)

1 Introduction The uvulopalatopharyngoplasty (UPPP), as described by Fujita in 1981, marked a breakthrough for the evolving field of sleep surgery. However, the procedure’s limited success and cure of obstructive…

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Expansion Sphincter Pharyngoplasty

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Expansion Sphincter Pharyngoplasty

1 Introduction Snoring results from the vibration of the soft tissues in the oral cavity: the soft palate, uvula, tonsils, base of tongue, epiglottis, and lateral pharyngeal walls. These may…

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Barbed Snore Surgery (BSS)

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Barbed Snore Surgery (BSS)

1 Introduction It became clear at the dawn of the third millennium that the real origin of obstructive sleep-disordered breathing (OSDB), snoring, and obstructive sleep apnea/hypopnea syndrome (OSAHS) was the…

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