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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

697
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...
697
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

884
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...
884
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

742
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...
742

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Related Experiment Video

Updated: Mar 13, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Skeletal Surgery for Obstructive Sleep Apnea.

José E Barrera1

  • 1Department of Surgery, Uniformed Services University, Bethesda, MD, USA; Department of Otolaryngology, University of Texas Health Sciences Center, San Antonio, TX, USA; Texas Facial Plastic Surgery and ENT, 14603 Huebner Road, Building 1, San Antonio, TX 78209, USA.

Otolaryngologic Clinics of North America
|October 11, 2016
PubMed
Summary
This summary is machine-generated.

Multilevel surgery, including maxillomandibular advancement (MMA), effectively treats obstructive sleep apnea (OSA) by addressing airway obstruction. Virtual surgical planning enhances the utility of MMA for OSA patients.

Keywords:
Genioglossal advancementHyoid myotomy and suspensionMaxillomandibular advancementObstructive sleep apneaSkeletal surgerySliding genioplastySurgery successSurgery technique

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Oral and Maxillofacial Surgery

Background:

  • Obstructive sleep apnea (OSA) is a common condition requiring surgical intervention.
  • Multilevel surgery is the primary treatment for OSA.
  • Tongue-base surgeries and maxillomandibular advancement (MMA) target hypopharyngeal obstruction.

Purpose of the Study:

  • To review surgical management options for obstructive sleep apnea.
  • To highlight the efficacy of multilevel surgery, particularly MMA.
  • To present a case study on virtual surgical planning for MMA.

Main Methods:

  • Review of established multilevel surgical techniques for OSA.
  • Discussion of tongue-base surgeries (genioglossus advancement, sliding genioplasty, hyoid myotomy/suspension).
  • Presentation of a case study utilizing virtual surgical planning for MMA.

Main Results:

  • Multilevel surgery, especially MMA, is a successful strategy for OSA.
  • Skeletal procedures offer proven airway obstruction relief.
  • Virtual surgical planning demonstrated utility in MMA procedures.

Conclusions:

  • Multilevel surgery, including MMA, is a cornerstone in OSA treatment.
  • Skeletal surgery effectively alleviates airway obstruction during sleep.
  • Virtual surgical planning is a valuable tool for MMA in OSA management.