Chapter
Advances in the Surgical Treatment of Obstructive
Sleep Apnea
A Succinct History of Sleep Medicine
Advanced Concepts in the Pathophysiology
of Obstructive Sleep Apnea
Upper Airway Motor Control
Respiratory Arousal Threshold
Loop Gain (Ventilatory Control Instability)
The History of Sleep Surgery
Advances in the Diagnosis of Obstructive SleepApnea: Drug-Induced Sleep Endoscopy
Insights from the Literature
Novel Positional Devices for the Treatment
of Positional Obstructive Sleep Apnea, and How This Relates to Sleep Surgery
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
Updated Concepts on Treatment Outcomes
for Obstructive Sleep Apnea
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
Updated Friedman Staging System for
Obstructive Sleep Apnea
Lingual Tonsil Hypertrophy Grading System
Advancements of CPAP Therapy for Obstructive
Sleep Apnea
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)
Advances in Oral Appliances for Obstructive
Sleep Apnea
Efficacy and Effectiveness
Role of the Otolaryngologist
History and Physical Features
Device Types and Selection
Clinical Follow-Up and Adherence
Updated Nasal Surgery for Obstructive
Sleep Apnea
Evaluation of the Nasal Airway
Evidence for Surgical Therapy
Updated Palate Surgery for Obstructive
Sleep Apnea
Changes in Surgical Technique
Updated Hypopharyngeal Surgery for
Sleep Apnea
Base of the Tongue Techniques
Updated Minimally Invasive Surgery for
Sleep-Related Breathing Disorders
Advances in Box Surgery for Obstructive Sleep Apnea: Genioglossus Advancement, Hyoid
Suspension, and Maxillomandibular Advancement
Maxillomandibular Advancement
Multilevel Obstructive Sleep Apnea Surgery
Classifications of Multilevel Surgery
Single- versus Multistage Surgery in
Multilevel OSA Treatment
Outcomes of Multilevel Obstructive Sleep
Apnea Surgery
Innovative Surgery for Obstructive Sleep Apnea:
Nerve Stimulator
The ImThera “THN aura6000” System
Robotic Obstructive Sleep Apnea Surgery
Surgical Equipment and Setup
Comparing Transoral Robotic Surgery to Other Tongue Base/Hypopharyngeal
Procedures
Pediatric Obstructive Sleep Apnea:
Where Do We Stand?
Pediatric Sleep-Disordered Breathing
Obesity and Sleep-Disordered Breathing
Why Does the Upper Airway Collapse during
Sleep in Nonoverweight Children?
Future Perspectives in Sleep Medicine
Future Perspectives in Sleep Surgery
Why Is There a Future Role for Sleep Surgery in View of Continuous Positive Airway
Pressure Success?
Drug-Induced Sleep Endoscopy