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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

195
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...
195
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

22
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...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

21
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...
21

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Related Experiment Video

Updated: Jul 23, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Multi-Level 3D Surgery for Obstructive Sleep Apnea: Could It Be the Future?

Angelo Eplite1, Claudio Vicini2, Giuseppe Meccariello2

  • 1Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Via GB Grassi 74, 20154 Milan, Italy.

Journal of Clinical Medicine
|July 14, 2023
PubMed
Summary

This study introduces a novel 3D surgical approach for multi-level obstructive sleep apnea (OSA), utilizing advanced visualization and coblation techniques for effective airway management. The procedure demonstrated safety and efficiency in treating OSA patients.

Keywords:
3D barbed reposition pharyngoplasty3D surgery3D tongue base resectioncoblator

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Technology

Background:

  • Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by upper airway obstruction during sleep.
  • Airway collapse in OSA is frequently multi-level, necessitating comprehensive surgical strategies.
  • Current surgical interventions for OSA often lack advanced visualization and multi-level integration.

Purpose of the Study:

  • To describe a novel 3D surgical setting for multi-level obstructive sleep apnea (OSA) treatment.
  • To introduce innovative surgical techniques including 4K-3D endoscopic and exoscopic visualization.
  • To evaluate the safety and efficacy of this integrated 3D surgical approach.

Main Methods:

  • Seven patients with OSA underwent 3D Barbed Reposition Pharyngoplasty (BRP).
  • Procedures included transoral coblation tongue base reduction and concurrent nasal surgery.
  • Utilized 4K-3D endoscopy for tongue base and 3D exoscopy for palatal approaches.

Main Results:

  • No intra-operative, post-operative, or delayed complications were observed in any patient.
  • The median 3D system setup time was 12.5 ± 2.3 minutes.
  • The overall procedure time was efficient, averaging 59.3 ± 26 minutes, completed in under 2 hours.

Conclusions:

  • The 4K-3D endoscopic and exoscopic system offers an excellent approach for multi-level OSA surgery.
  • This technique shows potential for reduced procedure times and costs compared to robotic surgery.
  • The described 3D surgical setting provides a safe and effective option for complex OSA cases.