Surgical approaches in obstructive sleep apnea syndrome: A review of techniques

Obstructive sleep apnea syndrome (OSAS) is a highly prevalent problem of public health, which is characterized by intermittent and repetitive narrowing of the airway while sleeping. Approximately half of the patients with OSAS therapy fail to comply with continuous positive airway pressure (CPAP) be...

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Main Authors: Agathi P. Spyropoulou, Vassilis Spiropoulos, Georgia Spiropoulou, Christos Tsilivigos, Konstantinos Spiropoulos, Nikolaos Mastronikolis
Format: Article
Language:English
Published: European Publishing 2022-07-01
Series:Pneumon
Subjects:
Online Access:http://www.pneumon.org/Surgical-approaches-in-obstructive-sleep-apnea-syndrome-A-review-of-techniques,147971,0,2.html
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author Agathi P. Spyropoulou
Vassilis Spiropoulos
Georgia Spiropoulou
Christos Tsilivigos
Konstantinos Spiropoulos
Nikolaos Mastronikolis
author_facet Agathi P. Spyropoulou
Vassilis Spiropoulos
Georgia Spiropoulou
Christos Tsilivigos
Konstantinos Spiropoulos
Nikolaos Mastronikolis
author_sort Agathi P. Spyropoulou
collection DOAJ
description Obstructive sleep apnea syndrome (OSAS) is a highly prevalent problem of public health, which is characterized by intermittent and repetitive narrowing of the airway while sleeping. Approximately half of the patients with OSAS therapy fail to comply with continuous positive airway pressure (CPAP) because of mask-related problems, treatment-related side effects, patient attitude, or perceived lack of benefit. The aim of the surgical therapies for the treatment of OSAS is to improve airway patency by operating on selected sites of obstruction. Different surgical modalities have been developed, since different anatomical locations may be responsible for a narrow upper airway. Consequently, the surgical approach needs to be individualized for each patient. Surgical treatment of OSAS presents variable efficacy but is capable of improving mortality and morbidity rates in selected patients. However, the surgery for OSAS is not a substitute for CPAP but is a salvage treatment option for patients who have failed CPAP and other conservative treatments, or had significant side effects of device use, or have a favorable anatomy such as tonsillar hypertrophy.
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spelling doaj.art-6718cf21e77442328a995189a57efaa12023-09-08T06:22:34ZengEuropean PublishingPneumon1105-848X1791-49142022-07-0135311010.18332/pne/147971147971Surgical approaches in obstructive sleep apnea syndrome: A review of techniquesAgathi P. Spyropoulou0Vassilis Spiropoulos1Georgia Spiropoulou2Christos Tsilivigos3Konstantinos Spiropoulos4Nikolaos Mastronikolis5Division of Surgery, Department of Otorhinolaryngology, School of Medicine, University of Patras, Patras, GreeceDivision of Surgery, Department of Otorhinolaryngology, School of Medicine, University of Patras, Patras, GreeceDepartment of Pharmacy, Nicosia University, Nicosia, CyprusDivision of Surgery, Department of Otorhinolaryngology, School of Medicine, University of Patras, Patras, GreeceDepartment of Pulmonology, School of Medicine, University of Patras, Patras, GreeceDivision of Surgery, Department of Otorhinolaryngology, School of Medicine, University of Patras, Patras, GreeceObstructive sleep apnea syndrome (OSAS) is a highly prevalent problem of public health, which is characterized by intermittent and repetitive narrowing of the airway while sleeping. Approximately half of the patients with OSAS therapy fail to comply with continuous positive airway pressure (CPAP) because of mask-related problems, treatment-related side effects, patient attitude, or perceived lack of benefit. The aim of the surgical therapies for the treatment of OSAS is to improve airway patency by operating on selected sites of obstruction. Different surgical modalities have been developed, since different anatomical locations may be responsible for a narrow upper airway. Consequently, the surgical approach needs to be individualized for each patient. Surgical treatment of OSAS presents variable efficacy but is capable of improving mortality and morbidity rates in selected patients. However, the surgery for OSAS is not a substitute for CPAP but is a salvage treatment option for patients who have failed CPAP and other conservative treatments, or had significant side effects of device use, or have a favorable anatomy such as tonsillar hypertrophy.http://www.pneumon.org/Surgical-approaches-in-obstructive-sleep-apnea-syndrome-A-review-of-techniques,147971,0,2.htmlsleep apneauvulopalatopharyngoplastypalatal implantssliding genioplastymaxillomandibular advancement
spellingShingle Agathi P. Spyropoulou
Vassilis Spiropoulos
Georgia Spiropoulou
Christos Tsilivigos
Konstantinos Spiropoulos
Nikolaos Mastronikolis
Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
Pneumon
sleep apnea
uvulopalatopharyngoplasty
palatal implants
sliding genioplasty
maxillomandibular advancement
title Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
title_full Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
title_fullStr Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
title_full_unstemmed Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
title_short Surgical approaches in obstructive sleep apnea syndrome: A review of techniques
title_sort surgical approaches in obstructive sleep apnea syndrome a review of techniques
topic sleep apnea
uvulopalatopharyngoplasty
palatal implants
sliding genioplasty
maxillomandibular advancement
url http://www.pneumon.org/Surgical-approaches-in-obstructive-sleep-apnea-syndrome-A-review-of-techniques,147971,0,2.html
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