Current concepts of sleep apnea surgery [E-Book]

Includes bibliographical references and index.

Online resource; title from PDF title page (EBSCO, viewed June 4, 2019).

Current Concepts of Sleep Apnea Surgery; MedOne Information; Title Page; Copyright; Contents; Videos; Preface; Contributors; 1 Introduction and History of Sleep Apnea Surgery; 1.1 Introduction; 1.2 A Short History of Surgery for Sleep-Disordered Breathing: From the Uvula Crusher to the Stimulation of the Hypoglossus Nerve; 1.2.1 Antiquity; 1.2.2 Renaissance; 1.2.3 19th Century; 1.2.4 20th Century; 1.2.5 Palatal Surgery; 1.2.6 Lower Pharyngeal Airway Procedures; 1.2.7 Devices for the Tongue Base Suspension; 1.2.8 Laryngeal Obstructive Sleep Apnea; 1.2.9 Multilevel Surgery

1.2.10 Hypoglossal Stimulation1.2.11 Maxillofacial Surgery; 1.2.12 Final Remark; 2 Pathophysiology; 2.1 Epidemiology; 2.1.1 Introduction; 2.1.2 Definitions; 2.1.3 Signs and Symptoms Suggestive of Obstructive Sleep Apnea; 2.1.4 Age and Gender Bias; 2.1.5 Symptoms of OSA in Older Subjects; 2.1.6 Symptoms in Overlap Syndrome; 2.1.7 Focused History; 2.1.8 Screening Questionnaires and Clinical Prediction Models; 2.1.9 Consequences; 2.1.10 Conclusions; 2.2 Causes of Obstructive Sleep Apnea; 2.2.1 Introduction; 2.2.2 Anatomic Causes of Obstructive Sleep Apnea

2.2.3 Nonanatomic Causes of Obstructive Sleep Apnea3 Diagnosis of Sleep-Disordered Breathing; 3.1 History Taking; 3.1.1 Conclusion; 3.2 Clinical Evaluation of Patients with (Suspected) Sleep-Disordered Breathing; 3.2.1 Introduction; 3.2.2 Anamnesis; 3.2.3 General Evaluation; 3.2.4 Upper Airway Evaluation; 3.2.5 Limitations; 3.2.6 Conclusion; 3.3 Sleep Studies; 3.3.1 Differential Diagnosis in Sleep-Related Breathing Disturbances; 3.3.2 Clinical Investigations; 3.3.3 Computer-Based Tests of Vigilance and Attention; 3.3.4 Evaluation of Sleep and Breathing Disturbances During Sleep

3.3.5 Parameters of Sleep Studies3.3.6 Case Reports; 3.4 Topo Diagnosis of Obstruction Site(s); 3.4.1 Awake Nasopharyngoscopy; 3.4.2 Drug-Induced Sleep Endoscopy; 3.4.3 Upper Airway Imaging in Sleep-Disordered Breathing; 3.4.4 Analysis of Snoring Sounds; 4 Nonsurgical Treatment: Lifestyle, Weight Loss, Positional Therapy, Mandibular Advancement Devices, Continuous Positive Airway Pressure, Multimodality Treatment; 4.1 Introduction; 4.2 Lifestyle Intervention; 4.2.1 Didgeridoo and Physical Therapy; 4.2.2 Alcohol, Tobacco, and Sedative Abstinence, Sleep Hygiene; 4.3 Positional Therapy

4.4 Oral Appliances4.4.1 Mechanism of Action; 4.4.2 Outcomes; 4.4.3 Side Effects; 4.4.4 Patient Selection; 4.5 Continuous Positive Airway Pressure; 4.6 Multimodality Treatment; 5 Surgical Principles; 5.1 Patient Selection; 5.1.1 Introduction; 5.1.2 Continuous Positive Airway Pressure Washout; 5.2 How to Score and Compare Surgical Results with Those of Nonsurgical Treatment; 5.2.1 Introduction; 5.2.2 How to Compare the Different Treatment Options?; 5.2.3 Formulas; 5.2.4 Percentage of TST during which CPAP Must Be Used to Meet Sher's Success Criteria

A key new reference dedicated to the surgical management of sleep-disordered breathing... The importance of unobstructed respiration in sleep, and the long-term risks of sleep apnea, cannot be overemphasized. The therapeutic efficacy of the widely prescribed ""gold standard,"" CPAP, is compromised by low patient acceptance and compliance. In light of the limits of CPAP and other forms of conservative therapy (e.g., mandibular advancement devices), there is a growing tendency to explore and expand the role of surgery in the treatment of severe sleep apnea. New insights and developments in patho.

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