Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea
Obstructive sleep apnea (OSA) is a common disease in adults, which influences human relations, quality of life and associates with major complications. Continuous positive airway pressure (CPAP) is the gold standard treatment modality in OSA patients. For patients incompliant or unwilling to CPAP th...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-04-01
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| Series: | Biomedical Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2319417018306292 |
| _version_ | 1817991374759264256 |
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| author | Hsueh-Yu Li Li-Ang Lee Li-Jen Hsin Tuan-Jen Fang Wan-Ni Lin Hung-Chin Chen Yi-An Lu Yi-Chan Lee Ming-Shao Tsai Yao-Te Tsai |
| author_facet | Hsueh-Yu Li Li-Ang Lee Li-Jen Hsin Tuan-Jen Fang Wan-Ni Lin Hung-Chin Chen Yi-An Lu Yi-Chan Lee Ming-Shao Tsai Yao-Te Tsai |
| author_sort | Hsueh-Yu Li |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is a common disease in adults, which influences human relations, quality of life and associates with major complications. Continuous positive airway pressure (CPAP) is the gold standard treatment modality in OSA patients. For patients incompliant or unwilling to CPAP therapy, surgery is an alternative treatment. Sleep surgery for OSA include intrapharyngeal surgery, extrapharyngeal surgery and bariatric surgery addressing upper airway soft tissue, maxillofacial bone, and obesity, respectively. Among sleep surgeries, intrapharyngeal surgery (soft tissue surgery) is widespread used and serves overwhelming majority in OSA surgical patients. Despite the popularity of intrapharyngeal surgery, its outcomes can be influenced by multiple factors and consequently need conjunctive remedy to enhance at the short-term and sustain in the long-term. In this article, we introduce updated indications for treating OSA, practical principle in decision-making between CPAP and surgery, hybrid procedures in treating obstruction at the nose, palate, tongue and epiglottis, and postoperative integrated treatment including oropharyngeal myofunctional therapy (local), positional therapy (regional), and body weight reduction (systemic), and circadian rhythm (central). In summary, intrapharyngeal surgery is a target-oriented procedure that needs to be performed precisely and combines with integrated treatment as a holistic care for OSA patients. Keywords: Obstructive sleep apnea, Intrapharyngeal surgery, Mini-invasive septoturbinoplasty, Suspension palatoplasty, Hybrid treatment |
| first_indexed | 2024-04-14T01:12:33Z |
| format | Article |
| id | doaj.art-c2faccb9653b4b3083e313c021c93062 |
| institution | Directory Open Access Journal |
| issn | 2319-4170 |
| language | English |
| last_indexed | 2024-04-14T01:12:33Z |
| publishDate | 2019-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Biomedical Journal |
| spelling | doaj.art-c2faccb9653b4b3083e313c021c930622022-12-22T02:20:59ZengElsevierBiomedical Journal2319-41702019-04-014228492Intrapharyngeal surgery with integrated treatment for obstructive sleep apneaHsueh-Yu Li0Li-Ang Lee1Li-Jen Hsin2Tuan-Jen Fang3Wan-Ni Lin4Hung-Chin Chen5Yi-An Lu6Yi-Chan Lee7Ming-Shao Tsai8Yao-Te Tsai9Department of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Department of Otorhinolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital at Linkou, 5, Fusing St., Gueishan, Taoyuan 333, Taiwan.Department of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Otolaryngology - Head and Neck Surgery, Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital at Keelung, Keelung, TaiwanDepartment of Otolaryngology – Head and Neck Surgery, Chang Gung Memorial Hospital at Chiayi, Chiayi, TaiwanDepartment of Otolaryngology – Head and Neck Surgery, Chang Gung Memorial Hospital at Chiayi, Chiayi, TaiwanObstructive sleep apnea (OSA) is a common disease in adults, which influences human relations, quality of life and associates with major complications. Continuous positive airway pressure (CPAP) is the gold standard treatment modality in OSA patients. For patients incompliant or unwilling to CPAP therapy, surgery is an alternative treatment. Sleep surgery for OSA include intrapharyngeal surgery, extrapharyngeal surgery and bariatric surgery addressing upper airway soft tissue, maxillofacial bone, and obesity, respectively. Among sleep surgeries, intrapharyngeal surgery (soft tissue surgery) is widespread used and serves overwhelming majority in OSA surgical patients. Despite the popularity of intrapharyngeal surgery, its outcomes can be influenced by multiple factors and consequently need conjunctive remedy to enhance at the short-term and sustain in the long-term. In this article, we introduce updated indications for treating OSA, practical principle in decision-making between CPAP and surgery, hybrid procedures in treating obstruction at the nose, palate, tongue and epiglottis, and postoperative integrated treatment including oropharyngeal myofunctional therapy (local), positional therapy (regional), and body weight reduction (systemic), and circadian rhythm (central). In summary, intrapharyngeal surgery is a target-oriented procedure that needs to be performed precisely and combines with integrated treatment as a holistic care for OSA patients. Keywords: Obstructive sleep apnea, Intrapharyngeal surgery, Mini-invasive septoturbinoplasty, Suspension palatoplasty, Hybrid treatmenthttp://www.sciencedirect.com/science/article/pii/S2319417018306292 |
| spellingShingle | Hsueh-Yu Li Li-Ang Lee Li-Jen Hsin Tuan-Jen Fang Wan-Ni Lin Hung-Chin Chen Yi-An Lu Yi-Chan Lee Ming-Shao Tsai Yao-Te Tsai Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea Biomedical Journal |
| title | Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| title_full | Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| title_fullStr | Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| title_full_unstemmed | Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| title_short | Intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| title_sort | intrapharyngeal surgery with integrated treatment for obstructive sleep apnea |
| url | http://www.sciencedirect.com/science/article/pii/S2319417018306292 |
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