Controversies in Obstructive Sleep Apnea Surgery.
| Autor: | Dicus Brookes CC; Division of Oral and Maxillofacial Surgery, Froedtert & the Medical College of Wisconsin, CFAC 5th Floor, 9200 W Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address: cbrookes@mcw.edu., Boyd SB; Vanderbilt University School of Medicine, 1161 21st Avenue S, Nashville, TN 37232, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Sleep medicine clinics [Sleep Med Clin] 2018 Dec; Vol. 13 (4), pp. 559-569. |
| DOI: | 10.1016/j.jsmc.2018.07.005 |
| Abstrakt: | Obstructive sleep apnea (OSA) is a common chronic disease characterized by repetitive pharyngeal collapse during sleep. OSA is associated with cardiovascular disease and increased mortality, among other issues. Continuous positive airway pressure (CPAP) is considered first line therapy for OSA, but is not always tolerated. Both non-surgical and surgical alternative management strategies are available for the CPAP intolerant patient. This article explores controversies surrounding airway evaluation, definition of successful treatment, and surgical management of the CPAP intolerant patient with moderate to severe OSA. Controversies specific to maxillomandibular advancement (MMA) are also discussed. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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