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Surgical Approaches to Treatment of Obstructive Sleep Apnea

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Dental Sleep Medicine

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Abstract

The pathophysiology of obstructive sleep apnea (OSA) often involves multilevel obstruction of the upper airway. Carefully selected OSA patients can benefit from surgery that is geared to address the primary site of obstruction. Introduction of dynamic magnetic resonance imaging (MRI) and drug-induced sleep endoscopy (DISE) has given further insight regarding the nature of the airway collapse during sleep. Upper airway evaluation allows for individualized surgical approach to sleep apnea treatment. Various surgical procedures to address specific airway levels have been introduced. These procedures can be offered as a single-level or a multilevel surgical approach to optimize treatment outcomes. Success rate of surgery improves when more than one site of obstruction is addressed.

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Abbreviations

AHI:

Apnea-hypopnea index

BMI:

Body mass index

BOT:

Base of the tongue

CCC:

Complete concentric collapse

DISE:

Drug-induced sleep endoscopy

ESS:

Epworth sleepiness scale

HNS:

Hypoglossal nerve stimulator

MMA:

Maxillomandibular advancement

OSA:

Obstructive sleep apnea

PAP:

Positive airway pressure

STAR:

Stimulation therapy for apnea reduction

TORS:

Transoral robotic surgical

UPPP:

Uvulopalatopharyngoplasty

VPI:

Velopharyngeal insufficiency

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Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, NY, USA

    Maria V. Suurna, Arron Cole & Joshua Sturm

  2. New York Presbyterian Hospital, New York, NY, USA

    Maria V. Suurna, Arron Cole & Joshua Sturm

  3. Otolaryngology - Head and Neck Surgery, University of Miami, Miami, USA

    Maria V. Suurna

Authors
  1. Maria V. Suurna
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  2. Arron Cole
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  3. Joshua Sturm
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Correspondence to Maria V. Suurna .

Editor information

Editors and Affiliations

  1. Center For TMJ & Sleep Therapy, Glendora, CA, USA

    G. Gary Demerjian

  2. Craniofacial Pain & Dental Sleep Center, Atlanta, GA, USA

    Mayoor Patel

  3. Dental Group of Sherman Oaks, Los Angeles, CA, USA

    Francesco Chiappelli

  4. Department of Oral Biology and Medicine, UCLA School of Dentistry, Los Angeles, CA, USA

    André Barkhordarian

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Suurna, M.V., Cole, A., Sturm, J. (2022). Surgical Approaches to Treatment of Obstructive Sleep Apnea. In: Demerjian, G.G., Patel, M., Chiappelli, F., Barkhordarian, A. (eds) Dental Sleep Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-10646-0_11

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  • DOI: https://doi.org/10.1007/978-3-031-10646-0_11

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