Pediatric Obstructive Sleep Apnea

Mar 28, 2017 by in OTOLARYNGOLOGY Comments Off on Pediatric Obstructive Sleep Apnea

Screening for obstructive sleep apnea (OSA) with in-laboratory polysomnography is recommended for children with sleep disordered breathing. Adenotonsillectomy is the first-line therapy for pediatric OSA, although intranasal steroids and montelukast…

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Upper Airway Stimulation Therapy

Mar 28, 2017 by in OTOLARYNGOLOGY Comments Off on Upper Airway Stimulation Therapy

Traditional upper airway surgery directly modifies skeletal and soft tissue structures surrounding the airway to treat obstructive sleep apnea (OSA). Upper airway stimulation (UAS) attempts to treat upper airway obstruction…

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Skeletal Surgery for Obstructive Sleep Apnea

Mar 28, 2017 by in OTOLARYNGOLOGY Comments Off on Skeletal Surgery for Obstructive Sleep Apnea

Multilevel surgery has been established as the mainstay of treatment for the surgical management of obstructive sleep apnea (OSA). Combined with uvulopalatopharyngoplasty, tongue-base surgeries, including the genioglossus advancement (GA), sliding…

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Genioglossal Advancement, Hyoid Suspension, Tongue Base Radiofrequency, and Endoscopic Partial Midline Glossectomy for Obstructive Sleep Apnea

Mar 28, 2017 by in OTOLARYNGOLOGY Comments Off on Genioglossal Advancement, Hyoid Suspension, Tongue Base Radiofrequency, and Endoscopic Partial Midline Glossectomy for Obstructive Sleep Apnea

Surgical intervention for obstructive sleep apnea (OSA) is a complex topic. The discussion involves intricate procedures targeting specific areas of the upper airway. Because of the wide variety of physiologic…

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Drug-Induced Sleep Endoscopy

Mar 28, 2017 by in OTOLARYNGOLOGY Comments Off on Drug-Induced Sleep Endoscopy

Key points • Drug-induced sleep endoscopy (DISE) is an upper airway evaluation technique with 3 key features: the use of pharmacologic agents to achieve sedation, the target depth of sedation…

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