Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Snoring, obstructive sleep apnea, and surgery

S W Barthel1, M Strome

  • 1Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, Ohio, USA.

The Medical Clinics of North America
|February 3, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Unsuspected adenoid cystic carcinoma in secondary rhinoplasty.

Annals of plastic surgery·2009
Same author

Laryngeal transplantation in 2005: a review.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2006
Same author

Laryngeal transplantation and 40-month follow-up.

The New England journal of medicine·2001
Same author

Potent effector function of tumor-sensitized L-selectin(low) T cells against subcutaneous tumors requires LFA-1 co-stimulation.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
Same author

Dynamic tissue expansion of the larynx in a canine model.

Archives of otolaryngology--head & neck surgery·2001
Same author

Primary radiation therapy for early glottic cancer.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
Same journal

Care Transitions Continue to Evolve.

The Medical clinics of North America·2026
Same journal

Navigating the Gaps: A Comprehensive Overview of Care Transitions Across the Continuum.

The Medical clinics of North America·2026
Same journal

Care Transitions and Value-Based Payment Models in the United States.

The Medical clinics of North America·2026
Same journal

Technology and Innovation in Care Transitions: Imagining the Future of Postdischarge Care.

The Medical clinics of North America·2026
Same journal

Primary Care, Specialists, and Hospitals: Bridging the Gaps in Communication and Coordination.

The Medical clinics of North America·2026
Same journal

Social Determinants of Health: Unique Considerations in Transitions of Care.

The Medical clinics of North America·2026
See all related articles

Obstructive sleep apnea (OSA) and snoring disrupt sleep. While CPAP is standard, surgery like UPPP and MMO offers alternatives for specific airway obstructions, with LAUP effective for snoring but not typically for OSA.

Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Innovation

Background:

  • Snoring and Obstructive Sleep Apnea (OSA) are significant causes of sleep disturbance with considerable health implications.
  • While Continuous Positive Airway Pressure (CPAP) is the primary treatment for OSA, patient compliance remains a challenge.
  • Surgical interventions aim to correct anatomical abnormalities causing OSA and snoring.

Purpose of the Study:

  • To review surgical treatment options for OSA and snoring.
  • To identify the most effective surgical procedures based on the site of airway obstruction.
  • To differentiate surgical indications for OSA versus symptomatic snoring.

Main Methods:

  • Review of surgical procedures for OSA and snoring, including Uvulopalatopharyngoplasty (UPPP), Maxillomandibular Advancement (MMO), Tracheostomy, and Laser-Assisted Uvulopalatoplasty (LAUP).

Related Experiment Videos

  • Analysis of treatment efficacy based on the anatomical location of airway obstruction (retropalate, retrolingual, nasal).
  • Evaluation of patient acceptance, morbidity, and cost-effectiveness of different surgical interventions.

    • Main Results:

    • UPPP is effective for OSA when retropalatal obstruction is identified.
    • MMO is effective for severe retrolingual obstruction, particularly with skeletal abnormalities, but is a major procedure.
    • LAUP is effective and well-tolerated for symptomatic snoring but not recommended for OSA, except possibly mild cases; screening for OSA is crucial.

    Conclusions:

    • Surgical treatment of OSA requires precise identification of the obstructing anatomical site.
    • Different procedures like UPPP, MMO, and tracheostomy have specific indications and limitations for OSA.
    • LAUP is a suitable option for snoring, but OSA must be excluded or managed separately.