Drug-Induced Sleep Endoscopy in Children
1 Introduction Over the past decade there has been an evolution in the care for children with obstructive sleep apnea (OSA). Although adenotonsillectomy (T&A) has been regarded as typically successful…
OTOLARYNGOLOGY
Multimodality Management of Nasopharyngeal Stenosis After Uvulopalatopharyngoplasty
1 Introduction Nasopharyngeal stenosis (NPS) after uvulopalatopharyngoplasty (UPPP) is a serious problem. More palatal procedures are being performed, leading to an increased incidence of NPS, but little has been written…
Uvulopalatopharyngoplasty: Analysis of Failure
1 Introduction Sleep-disordered breathing (SDB) encompasses a spectrum of conditions, including socially unacceptable snoring (SUS) and obstructive sleep apnea syndrome (OSAS). Whereas SUS is mostly debilitating in social circumstances, OSAS…
Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea
1 Introduction According to a 2009 meta-analysis, 35% to 40% of children who undergo adenotonsillectomy (T&A) for obstructive sleep apnea (OSA) have persistent disease after surgery. Our discussion will briefly…
Maxillofacial Surgical Techniques for Hypopharyngeal Obstruction in Obstructive Sleep Apnea
1 Indications From our first case report describing isolated mandibular advancement for the treatment of obstructive sleep apnea (OSA) in 1984, maxillofacial surgical interventions have played significant roles in sleep…
Modified Maxillomandibular Advancement Technique
1 Introduction Orthognathic surgery has been used to treat obstructive sleep apnea (OSA) since the mid-1980s. In the classical phase II surgery for OSA described by Riley et al., 10-mm advancement…
The Perioperative Management of Patients With Obstructive Sleep Apnea
1 Introduction The incidence of obstructive sleep apnea (OSA) has increased dramatically in the past two decades due to the increased incidence of obesity. Many continue to quote a 4%…
Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients
1 Introduction Maxillary morphology plays an important role in the pathophysiology of obstructive sleep apnea (OSA). Guilleminault et al. reported the presence of high and narrow hard palate differentiating OSA between…
Management of the Epiglottis
This chapter reviews the role of the epiglottis in obstructive sleep apnea (OSA) and surgical management of its obstructive capacity. Although it has been well recognized for years that multiple…
Transoral Robotic Surgery (TORS) for OSA
1 Introduction The importance of lingual tonsil hypertrophy has long been recognized as a significant factor in obstructive sleep apnea (OSA), but only recently with the advent of transoral robotic…
