Surgical Algorithm for Obstructive Sleep Apnea: An Update.

Abstract:

:Sleep surgery is part of a continuum of care for obstructive sleep apnea (OSA) that involves medical, pharmacologic, and behavioral therapy. Upper airway surgery for OSA can significantly improve stability by way of modulating the critical negative closing pressure. This is the same mechanism of action as positive airway pressure or oral appliance therapy. The updated surgical algorithm in this review adds precision in three areas: patient selection, identification of previously unaddressed anatomic phenotypes with associated treatment modality, and improved techniques of previously established procedures. While the original Riley and Powell phase 1 and 2 approach to sleep surgery has focused on individual surgical success rate, this algorithm strives for an overall treatment success with multi-modal and patient-centric treatments.

authors

Liu SY,Riley RW,Yu MS

doi

10.21053/ceo.2020.01053

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

215-224

issue

3

eissn

1976-8710

issn

2005-0720

pii

ceo.2020.01053

journal_volume

13

pub_type

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