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• W2077918555 abstract "It is now well-established and accepted that there are significant health risks associated with obstructive sleep apnea syndrome. Diagnosis of this syndrome is made by the subjective finding of excessive daytime somnolence (EDS) and the objective finding of a polysomnogram. Present treatments consist of medical and surgical intervention or a combination of both. Specific surgical indications are selected after systematic evaluation is accomplished. In part, this includes fiberoptic nasopharyngoscopy, cephalometric lateral x-rays, and selected baseline medical data. A protocol has been selected that incorporates the treatment philosophy of a phased surgical approach with the overall goal to cure the patient. The phased surgical approach was selected to limit the possibilities of over-operating in the selected regions of possible obstruction. Phase I surgical protocol includes nasal reconstruction, uvulopalatopharyngoplasty, and limited mandibular osteotomy with genioglossus advancement and hyoid suspension. Phase II protocol is selected only for those patients who have failed phase I by objective study and are of acceptable health to proceed with more extensive surgery. The responder rate of phase I surgery has been 67%. The responder rate of phase II surgery has been 90%. All surgical protocols are compared with the medical results of continuous positive airway pressure (CPAP). It is now well-established and accepted that there are significant health risks associated with obstructive sleep apnea syndrome. Diagnosis of this syndrome is made by the subjective finding of excessive daytime somnolence (EDS) and the objective finding of a polysomnogram. Present treatments consist of medical and surgical intervention or a combination of both. Specific surgical indications are selected after systematic evaluation is accomplished. In part, this includes fiberoptic nasopharyngoscopy, cephalometric lateral x-rays, and selected baseline medical data. A protocol has been selected that incorporates the treatment philosophy of a phased surgical approach with the overall goal to cure the patient. The phased surgical approach was selected to limit the possibilities of over-operating in the selected regions of possible obstruction. Phase I surgical protocol includes nasal reconstruction, uvulopalatopharyngoplasty, and limited mandibular osteotomy with genioglossus advancement and hyoid suspension. Phase II protocol is selected only for those patients who have failed phase I by objective study and are of acceptable health to proceed with more extensive surgery. The responder rate of phase I surgery has been 67%. The responder rate of phase II surgery has been 90%. All surgical protocols are compared with the medical results of continuous positive airway pressure (CPAP)." @default.
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• W2077918555 date "1991-06-01" @default.
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• W2077918555 title "Rationale and indications for surgical treatment in obstructive sleep apnea syndrome" @default.
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• W2077918555 doi "https://doi.org/10.1016/s1043-1810(10)80203-9" @default.
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