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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
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Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...

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Skeletal surgery in sleep apnea.

Danny Meslemani1, Lamont R Jones

  • 1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|June 11, 2011
PubMed
Summary

Maxillomandibular advancement surgery is a safe and effective treatment for obstructive sleep apnea (OSA). This surgical approach offers an alternative to traditional therapies for select patients with sleep apnea.

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Oral and Maxillofacial Surgery

Background:

  • Obstructive sleep apnea (OSA) is a prevalent condition with rising incidence, often linked to obesity in the American population.
  • Current treatments for OSA include continuous positive airway pressure (CPAP) and surgical interventions.

Purpose of the Study:

  • To review the role of skeletal surgery in treating obstructive sleep apnea (OSA).
  • To highlight recent advancements in surgical techniques for OSA management.

Main Methods:

  • This is a review article, synthesizing existing literature on skeletal surgery for OSA.
  • Focus on advancements in surgical genioplasty and maxillomandibular advancement (MMA).

Main Results:

  • Surgical genioplasty advancements allow for muscle advancement without significant aesthetic changes.
  • Maxillomandibular advancement (MMA) is increasingly considered a potential first-line therapy for OSA.
  • MMA demonstrates safety and efficacy in select OSA patient populations.

Conclusions:

  • Maxillomandibular advancement (MMA) is a safe and effective treatment option for specific patients with obstructive sleep apnea (OSA).
  • MMA may be considered as a primary therapeutic approach, potentially preceding or replacing CPAP in suitable candidates.