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Surgical Approaches to Obstructive Sleep Apnea.
Stuart G MacKay1, Lyndon Chan1
1Department of ENT Surgery, Illawarra ENT Head and Neck Clinic, Suite 1 & 2, 8-10 Victoria Street, Wollongong, New South Wales 2500, Australia.
Sleep Medicine Clinics
|August 21, 2016
Summary
Surgery offers advanced treatment options for adult obstructive sleep apnea (OSA) when CPAP or splints fail. It can serve as salvage therapy or improve device tolerance, often combined with other treatments.
Area of Science:
- Sleep Medicine
- Otolaryngology
- Surgical Innovation
Background:
- Obstructive sleep apnea (OSA) management has evolved significantly.
- Surgery is considered when non-surgical treatments like CPAP or mandibular advancement splints fail.
- Surgical interventions aim to improve airway patency and patient outcomes.
Purpose of the Study:
- To review advancements in surgical treatments for adult obstructive sleep apnea (OSA).
- To discuss the role of surgery as salvage therapy or to enhance device tolerance.
- To highlight the integration of surgical and non-surgical OSA management strategies.
Main Methods:
- Review of recent advancements in OSA surgical techniques.
- Analysis of surgical roles in cases of failed device therapy.
- Discussion of adjunctive therapies combined with airway surgery.
Main Results:
- Surgical options for adult OSA have advanced considerably.
- Surgery can be effective salvage therapy or improve tolerance for positive airway pressure or splint devices.
- Combined treatment approaches including weight loss, nasal therapy, and positional devices are utilized alongside surgery.
Conclusions:
- Surgical interventions are a crucial evolving component of adult OSA management.
- Perioperative care, including in-hospital monitoring, is standard for OSA patients undergoing surgery.
- Multimodal treatment strategies offer comprehensive management for obstructive sleep apnea.
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