OTOLARYNGOLOGY

Genioglossus Advancement

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Genioglossus Advancement

Introduction The pathogenesis of obstructive sleep apnea (OSA) is complex and involves many anatomic and physiologic factors. The Fujita system for classifying the level of airway obstruction is often employed…

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Hypoglossal Nerve Stimulation Therapy

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Hypoglossal Nerve Stimulation Therapy

Introduction The prevalence of obstructive sleep apnea (OSA), its complex pathophysiology, and the suboptimal adherence rates with positive pressure therapy require alternative treatment strategies in many OSA patients. Hypoglossal nerve…

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Uvulopalatopharyngoplasty and Related Modifications (Traditional Uvulopalatopharyngoplasty, Uvulopalatal Flap, Anterior Palatoplasty)

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Uvulopalatopharyngoplasty and Related Modifications (Traditional Uvulopalatopharyngoplasty, Uvulopalatal Flap, Anterior Palatoplasty)

Introduction Obstructive sleep apnea (OSA) is a dynamic collapse and obstruction of the upper airway occurring in sleep due to decreased upper airway neuromuscular activity. At least 13% of men…

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Cancer of the Cervical Esophagus

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Cancer of the Cervical Esophagus

Introduction Cancer of the cervical esophagus has long been known as one of the most difficult neoplasms to treat and cure surgically. It is relatively uncommon, representing less than 5%…

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Dysfunction of the Upper Esophageal Sphincter

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Dysfunction of the Upper Esophageal Sphincter

Introduction The cricopharyngeus muscle is the major component of the upper esophageal sphincter (UES). The cricopharyngeus muscle is innervated by the pharyngeal plexus, which is composed of contributions from the…

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Advanced Palatal Surgery: Expansion Sphincter Pharyngoplasty & Transpalatal Advancement Pharyngoplasty

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Advanced Palatal Surgery: Expansion Sphincter Pharyngoplasty & Transpalatal Advancement Pharyngoplasty

Abstract Obstructive sleep apnea (OSA) is a state-dependent phenomenon in which the pharyngolarynx undergoes repetitive collapse. Retropalatal obstruction is often the primary site of sleep-disordered breathing. Traditional uvulopalatopharyngoplasty (UPPP) as…

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Office-Based Snoring Procedures

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Office-Based Snoring Procedures

Introduction “Primary snoring” can be described as a symptomatic, sleep-related, respiration-dependent acoustic phenomenon with an apnea-hypopnea index (AHI) of less than 5 and without complaints of daytime sleepiness. Snoring is…

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Drug-Induced Sedated Endoscopy

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Drug-Induced Sedated Endoscopy

Introduction Obstructive sleep apnea (OSA) is a state-dependent phenomenon in which the pharyngolarynx undergoes repetitive obstruction. For the otolaryngologist, the ability to phenotype the specific site(s), anatomic structures, and patterns…

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Reconstruction of Hypopharyngeal Defects

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Reconstruction of Hypopharyngeal Defects

Acknowledgments I acknowledge Hyunjoo Park for the illustrations in this chapter. Introduction The hypopharynx is a complex anatomic region that begins at the level of the hyoid and terminates at…

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