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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Transpalatal Advancement Pharyngoplasty

Jun 10, 2019 by in OTOLARYNGOLOGY Comments Off on Transpalatal Advancement Pharyngoplasty

Successful surgical treatment of obstructive sleep apnea (OSA) continues to be a challenging goal. Maxillomandibular advancement (MMA) remains the gold standard of surgical care, but its use is limited due…

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