Sleep-Related Breathing Disorders ( Advances in Oto-Rhino-Laryngology )

Publication series : Advances in Oto-Rhino-Laryngology

Author: Lin H.-C.  

Publisher: S. Karger AG‎

Publication year: 2017

E-ISBN: 9783318060652

P-ISBN(Paperback): 9783318060645

Subject: R749.7 neurosis

Keyword: 呼吸系及胸部疾病,耳鼻咽喉科学,神经病学,神经病学与精神病学

Language: ENG

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Description

Many sleep-related breathing disorders (SRBD), especially obstructive sleep apnea, originate from upper airway abnormalities. The connection to cardio- and cerebrovascular comorbidities is significant and the impact on the general health of patients is noteworthy. In recent years, important advances have been made in the research, diagnosis, and treatment of SRBD due to a multidisciplinary approach. This volume incorporates contributions in which the efforts and expertise of more than thirty outstanding experts are shared. It provides a concise, practical, and comprehensive review of sleep medicine and will enable researchers and physicians to stay updated on the latest developments.

Chapter

Advances in the Surgical Treatment of Obstructive Sleep Apnea

A Succinct History of Sleep Medicine

Abstract

References

Advanced Concepts in the Pathophysiology of Obstructive Sleep Apnea

Abstract

Pharyngeal Anatomy

Upper Airway Motor Control

Wakefulness

Sleep

Respiratory Arousal Threshold

Loop Gain (Ventilatory Control Instability)

Conclusion

References

The History of Sleep Surgery

Abstract

Treatment of Snoring

Surgical Procedures

Conclusion

References

Advances in the Diagnosis of Obstructive SleepApnea: Drug-Induced Sleep Endoscopy

Abstract

Indications

Contraindications

Technique

Anesthesia

Scoring System

Validity

Insights from the Literature

Conclusion

References

Novel Positional Devices for the Treatment of Positional Obstructive Sleep Apnea, and How This Relates to Sleep Surgery

Abstract

Chest-Worn and Neck-Worn Devices

Randomized Controlled Trials

Mandibular Advancement Device and Positional Therapy Combinations

Positional Therapy and Head Position

Sleep Position and Palatal Surgery

Positional Therapy after Maxillomandibular Advancement

Positional Therapy and Bariatric Surgery

Conclusion

References

Updated Concepts on Treatment Outcomes for Obstructive Sleep Apnea

Abstract

Apnea-Hypopnea Index as the Single Gold Standard for Treatment Outcome?

Oxygen Desaturation Index as the Valid Alternative?

Clinically Relevant Outcomes, Treatment Options, and the Concept of Continuum of Treatment

References

Updated Friedman Staging System for Obstructive Sleep Apnea

Abstract

Friedman Tongue Position

Anatomic Grading System

Lingual Tonsil Hypertrophy Grading System

Discussion

Conclusion

References

Advancements of CPAP Therapy for Obstructive Sleep Apnea

Abstract

The Development of Continuous Positive Airway Pressure, 1981–1985

Mode of Continuous Positive Airway Pressure: Balance of Pressure

The Application of Continuous Positive Airway Pressure

Side Effects of Continuous Positive Airway Pressure

Evidence for Continuous Positive Airway Pressure Treatment

Fixed-Pressure (CPAP) versus Auto-Titration (APAP)

Conclusion

References

Advances in Oral Appliances for Obstructive Sleep Apnea

Abstract

Efficacy and Effectiveness

Mechanism of Action

Indications

Role of the Otolaryngologist

Patient Selection

History and Physical Features

Device Types and Selection

Side Effects

Clinical Follow-Up and Adherence

Future

References

Updated Nasal Surgery for Obstructive Sleep Apnea

Abstract

Epidemiology

Pathophysiology

Evaluation of the Nasal Airway

Evidence for Surgical Therapy

Conclusion

References

Updated Palate Surgery for Obstructive Sleep Apnea

Abstract

Concept Changes

Changes in Examination

Changes in Surgical Technique

Perils and Pitfalls

References

Updated Hypopharyngeal Surgery for Sleep Apnea

Abstract

Anatomy

Surgical Algorithms

Airway Assessment

Base of the Tongue Techniques

Epiglottidectomy

Conclusion

References

Updated Minimally Invasive Surgery for Sleep-Related Breathing Disorders

Abstract

Nasal Surgery

Soft Palate Surgery

Tongue Base Surgery

Conclusion

References

Advances in Box Surgery for Obstructive Sleep Apnea: Genioglossus Advancement, Hyoid Suspension, and Maxillomandibular Advancement

Abstract

Genioglossus Advancement

Hyoid Suspension

Maxillomandibular Advancement

References

Multilevel Obstructive Sleep Apnea Surgery

Abstract

Classifications of Multilevel Surgery

Single- versus Multistage Surgery in Multilevel OSA Treatment

Outcomes of Multilevel Obstructive Sleep Apnea Surgery

Conclusion

References

Innovative Surgery for Obstructive Sleep Apnea: Nerve Stimulator

Abstract

Anatomy

Preoperative Evaluation

Contraindications

The Inspire System

The ImThera “THN aura6000” System

The Nyxoah System

Conclusion

References

Robotic Obstructive Sleep Apnea Surgery

Abstract

Assessment

Surgical Anatomy

Surgical Equipment and Setup

Surgical Technique

Outcome Measures

Complications

Comparing Transoral Robotic Surgery to Other Tongue Base/Hypopharyngeal Procedures

Future Work and Advances

Conclusion

References

Pediatric Obstructive Sleep Apnea: Where Do We Stand?

Abstract

Pediatric Sleep-Disordered Breathing

Obesity and Sleep-Disordered Breathing

Why Does the Upper Airway Collapse during Sleep in Nonoverweight Children?

Treatments and Outcomes

Conclusion

Acknowledgment

References

Future Perspectives in Sleep Medicine

Abstract

Reference

Future Perspectives in Sleep Surgery

Abstract

Why Is There a Future Role for Sleep Surgery in View of Continuous Positive Airway Pressure Success?

Staging

Drug-Induced Sleep Endoscopy

Palatal Procedures

Hypopharyngeal Treatment

Suspension and Expansion

Conclusion

References

Author Index

Subject Index

Cover

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