Examination and Interactions with Aesthetic Patients
Dr Chen’s viewpoint Cosmetic blepharoplasty is one of the most popular forms of aesthetic surgery of the face. The surgical outcome is intimately related to the interaction of the upper…
Preoperative Preparation, Anesthesia, and Postoperative Considerations
Dr Chen’s Preoperative Regimen For cosmetic blepharoplasty, Dr Chen routinely prescribes 10mg of Valium plus one tablet of Vicodin at 60–90 minutes prior to the procedure. This allows a good…
Laryngomalacia
1 Introduction Laryngomalacia is the term most widely used to describe the “inward collapse of supraglottic structures during inspiration,” as originated by Jackson and Jackson in 1942. The inward collapse…
Management of Sleep-Related Breathing Disorders in Children
1 Introduction Sleep-related breathing disorders (SRBDs) span varying degrees of airway obstruction during sleep and contribute to significant epidemiologic burden, especially in developed countries. The first report of SRBD appeared…
Speech-Ready, Long-Term Tube-Free Tracheostomy for Obstructive Sleep Apnea
1 Introduction Obstructive sleep apnea (OSA) is caused by obstacles to the free flow of air through the upper airway from the lips or nasal tip to the larynx and…
Innovations in Surgical Treatment of OSA
The aim of this chapter is not necessarily to provide the reader with information about the newest device, as it will be explored somewhere else in this book, but rather…
Salvage of Failed Palate Procedures for Sleep-Disordered Breathing
1 Introduction Surgical procedures designed to shorten or otherwise modify the palate may provide relief of upper airway collapse at the palatal level in patients with sleep-disordered breathing (SDB). For…
Current Techniques for the Treatment of Velopharyngeal Insufficiency
1 Introduction Velopharyngeal insufficiency (VPI) is a significant speech disorder hypernasal resonance. This can result in difficulty with speech intelligibility and swallowing, which can have a major impact on a…
Multilevel Surgery With or Without Genioglossal Advancement
1 Introduction Severe obstructive sleep apnea syndrome (OSAS) is preferably treated by nasal continuous positive airway pressure (NCPAP). Unfortunately, 30% to 50% of patients refuse or cannot accept NCPAP for…
Prevention and Correction of Pediatric SDB/OSA and Post-T&A Relapse: A Non-Surgical Orthodontic/Dentofacial Orthopedic Approach
1 Introduction Sleep-disordered breathing (SDB) comprises a wide spectrum of sleep-related breathing abnormalities; those related to increased upper airway resistance include snoring, upper airway resistance syndrome (UARS), and obstructive sleep…
