Decision making in obstructive sleep-disordered breathing: putting It all together

Abstract:

:Obstructive sleep-disordered breathing consists of a spectrum ranging from the upper airway resistance syndrome to complete apnea. Although this disorder is relatively common, it is still under-recognized, resulting in a significant increase in morbidity and mortality. This article describes the rationale for treating this disorder. Then, using the best available evidence, develops a systemic approach to the problem, covering recognition, diagnosis, and treatment.

authors

Bahammam A,Kryger M

doi

10.1016/s0030-6665(05)70133-x

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

333-48

issue

2

eissn

0030-6665

issn

1557-8259

pii

S0030-6665(05)70133-X

journal_volume

32

pub_type

杂志文章
  • The prognostic value of the glycerol test: a review of 60 ears with unidirectional inner ear valve implants.

    abstract::The following are our conclusions in regard to glycerol test interpretation based on 60 valve implants: Negative Tests 1. A negative glycerol test result and no audiometric evidence of significant hearing fluctuations indicate that a patient is unlikely to have postoperative hearing that is better than his best preope...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Sauer RC,Kaemmerle AW,Arenberg IK

    更新日期:1980-11-01 00:00:00

  • Use of rigid internal fixation in the repair of complex and comminuted mandible fractures.

    abstract::An overview of the use of rigid internal fixation using the AO method for the repair of complex mandibular injuries is presented. The end result of such an approach is the return of the patient as rapidly as possible to his or her normal status with return to normal alimentation, normal mobility of the mandible, norma...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Klotch D

    更新日期:1987-08-01 00:00:00

  • Contemporary Surgical Management of Early Glottic Cancer.

    abstract::For early-stage T1-T2 glottic squamous cell carcinoma, transoral laser microsurgery (TLM) is the main surgical modality, with rates of local control and laryngeal preservation ranging from 85% to 100% and low morbidity. For extensive lesions, open conservation laryngeal surgery may enable wider resections than TLM but...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2015.04.007

    authors: Hartl DM,Brasnu DF

    更新日期:2015-08-01 00:00:00

  • Thyroid tumors in children.

    abstract::Thyroid tumors in children continue to generate tremendous interest and controversy. Despite a frequent presentation with metastatic disease, these differentiated tumors have an excellent prognosis. Because most pediatric patients have prolonged survival, long-term follow-up is mandatory. The extent of surgery for thi...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Geiger JD,Thompson NW

    更新日期:1996-08-01 00:00:00

  • Diagnosis and treatment of psychologic symptoms and psychiatric disorders in patients with dizziness and imbalance.

    abstract::Patients with dizziness and psychopathology present diagnostic and therapeutic challenges to clinicians in several specialties. Clinical research is beginning to define the medical-psychiatric interactions that produce many of these patients' symptoms. Treatment research is still in its infancy. A model of illness pro...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(05)70230-9

    authors: Staab JP

    更新日期:2000-06-01 00:00:00

  • Epidemiology of human papillomavirus-related head and neck cancer.

    abstract::Human papillomavirus (HPV) is now recognized to cause a subset of head and neck squamous cell carcinomas (HNSCC). Although excessive tobacco and alcohol use continue to be important risk factors for HNSCC, epidemiologic studies suggest that more than 25% of HNSCC are now caused by HPV. The incidence of HPV-related HNS...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2012.04.003

    authors: Joseph AW,D'Souza G

    更新日期:2012-08-01 00:00:00

  • Minimally Invasive Facial Cosmetic Procedures.

    abstract::Minimally invasive procedures including neurotoxins, dermal fillers, deoxycholic acid, lasers, peels, and microneedling offer powerful, less permanent adjuncts to surgery that are highly effective in select patients. Injectables and skin resurfacing techniques target facial irregularities including wrinkles and fine l...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2019.02.013

    authors: Devgan L,Singh P,Durairaj K

    更新日期:2019-06-01 00:00:00

  • Revascularized bone grafts for craniofacial reconstruction.

    abstract::Reconstruction of craniomaxillofacial defects caused by injury, tumor ablation, or congenital deformities can be accomplished by a variety of methods. Nonvascularized (free), vascularized (pedicled), and revascularized (microvascular) bone grafts have been employed for osseous restoration of the upper, mid, and lower ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Turk JB,Vuillemin T,Raveh J

    更新日期:1994-10-01 00:00:00

  • Allergic fungal sinusitis in children.

    abstract::Allergic fungal sinusitis (AFS) is a subtype of eosinophilic chronic rhinosinusitis (CRS) characterized by type I hypersensitivity, nasal polyposis, characteristic computed tomography scan findings, eosinophilic mucus, and the presence of fungus on surgical specimens without evidence of tissue invasion. This refractor...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2012.03.003

    authors: Thorp BD,McKinney KA,Rose AS,Ebert CS Jr

    更新日期:2012-06-01 00:00:00

  • Noninflammatory, non-neoplastic disorders of the salivary glands.

    abstract::Noninflammatory, non-neoplastic diseases comprise a diverse group of disorders that can present in a variety of ways. In general, a careful history will sharply focus the diagnostic possibilities. Although the diagnosis usually will be certain following the physical examination, additional testing may be needed to fac...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(05)70176-6

    authors: Rice DH

    更新日期:1999-10-01 00:00:00

  • Architectural deficiencies of the nose: treatment of the saddle nose and short nose deformities.

    abstract::The saddle nose and short nose deformities are challenging surgical problems characterized by significant architectural deficiencies of the nasal framework. These defects produce cosmetic and functional nasal problems. Reconstructive techniques and augmentation materials are reviewed. Case examples illustrate the auth...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0030-6665(05)70117-1

    authors: Dyer WK 2nd,Beaty MM,Prabhat A

    更新日期:1999-02-01 00:00:00

  • Advances in skull base imaging.

    abstract::Despite being introduced in the 1970s and 1980s, CT and MRI continue to be the primary imaging modalities for the temporal bone and skull base. Although the general concepts and physics remain the same, the images obtained currently are far superior. Augmenting these traditional modalities are nuclear medicine imaging...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2007.03.001

    authors: Driscoll CL,Lane JI

    更新日期:2007-06-01 00:00:00

  • Effects of laryngeal cancer on voice and swallowing.

    abstract::Specific deficits that may be encountered as well as interventional strategies and evidence-based practice are discussed. When discussing the voice, it is important to consider that for many people the voice is not just a tool for communication, but also an identifying feature that allows expression of personality. Ea...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2008.01.018

    authors: Starmer HM,Tippett DC,Webster KT

    更新日期:2008-08-01 00:00:00

  • Head and Neck Cancer and the Elderly Patient.

    abstract::Management of head and neck cancer in the elderly patient is particularly challenging given the high morbidity associated with treatment. Surgery, radiotherapy, and chemotherapy have all been demonstrated as effective in older patients; however, older patients are more susceptible to treatment-induced toxicity, which ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2018.03.004

    authors: Cervenka BP,Rao S,Bewley AF

    更新日期:2018-08-01 00:00:00

  • Instrumentation in Frontal Sinus Surgery.

    abstract::Frontal recess dissection proposes many challenges to the surgeon. These challenges stem from its highly variable nature, small caliber, difficult visualization, and proximity to vital structures such as the skull base and orbit. As such, delicate mucosal-sparing dissection of the frontal recess with proper instrument...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2016.03.018

    authors: Tajudeen BA,Adappa ND

    更新日期:2016-08-01 00:00:00

  • Neuromuscular retraining for facial paralysis.

    abstract::Neuromuscular retraining is an effective method for rehabilitating facial musculature in patients with facial paralysis. This nonsurgical therapy has demonstrated improved functional outcomes and is an important adjunct to surgical treatment for restoring facial movement. Treatment begins with an intensive clinical ev...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Diels HJ,Combs D

    更新日期:1997-10-01 00:00:00

  • Laryngopharyngectomy with reconstruction.

    abstract::A wide range of reconstructive options allows the ablative surgeon to resect tumors completely with wide margins. Wide resection is especially important because of the rich lymphatic drainage and submucosal spread seen with carcinomas in the hypopharyngeal area. Postoperative stenosis can be a difficult, recurring pro...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(02)00034-8

    authors: Couch ME

    更新日期:2002-10-01 00:00:00

  • The role of standard technique in modern sinus surgery.

    abstract::This article reviews the most commonly performed intranasal and extranasal sinus operations. The indications, complications, and functional results of each are presented. Endoscopic approaches should be used in conjunction with standard techniques in order to supplement and improve the efficiency of standard technique...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Friedman WH,Katsantonis GP

    更新日期:1989-08-01 00:00:00

  • Aspiration pneumonia. Medical management.

    abstract::Pulmonary aspiration syndromes--aspiration of gastric contents and aspiration-associated plueropulmonary infections--are discussed. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kirsch CM,Sanders A

    更新日期:1988-11-01 00:00:00

  • Organ preservation therapy for advanced-stage laryngeal carcinoma.

    abstract::The standard treatment for patients with advanced laryngeal cancer remains total laryngectomy. Radiotherapy as a primary treatment modality is a reasonable alternative. Surgical salvage by total laryngectomy is an important part of the treatment plan when irradiation is used primarily to treat advanced laryngeal cance...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Hoffman HT,McCulloch T,Gustin D,Karnell LH

    更新日期:1997-02-01 00:00:00

  • A patient seeking aesthetic revision rhinoplasty and correction of nasal obstruction.

    abstract::Thorough evaluation of a patient presenting with nasal obstruction, including nasal endoscopy and a CT scan when indicated, is recommended to guide proper diagnosis and treatment. The rhinoplasty surgeon should be aware of the differential diagnosis of nasal obstruction and should proceed with thorough evaluation or r...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.otc.2009.03.001

    authors: Becker DG,Bloom JD,Gudis D

    更新日期:2009-06-01 00:00:00

  • Ossiculoplasty.

    abstract::Contemporary surgical techniques for treating various pathologies affecting the middle ear address not only eradication of the underlying disease process but also restoration of normal auditory function. Trauma, neoplasms, inflammatory processes, and cholesteatomas can erode and alter normal middle ear components and ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2006.08.010

    authors: Javia LR,Ruckenstein MJ

    更新日期:2006-12-01 00:00:00

  • Craniofacial disassembly in the management of skull-base tumors.

    abstract::Craniofacial disassembly now plays a major role in the management of tumors that invade the skull base. The chief advantage of this technique is the greatly improved operative exposure it provides, allowing the surgeon to resect such tumors more completely and with an added margin of safety. Microneurosurgical advance...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Nuss DW,Janecka IP,Sekhar LN,Sen CN

    更新日期:1991-12-01 00:00:00

  • Acquired cholesteatoma in the pediatric age group.

    abstract::Successful treatment of cholesteatoma in children is based on the same principles of therapy used in adults. A clinical profile of children with acquired cholesteatoma is compared with that of adults. Issues related to aggressiveness of disease, pathophysiology, diagnostic problems, and treatment approaches are discus...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Edelstein DR,Parisier SC,Han JC

    更新日期:1989-10-01 00:00:00

  • Actinic keratosis. A premalignant skin lesion.

    abstract::The actinic keratotic lesion appearing on the sun-exposed skin of the middle-aged and elderly is a common premalignant lesion that infrequently becomes squamous cell carcinoma. Generally, superficially destructive measures provide adequate therapy for this epidermal dysplastic growth. Because of the rare threat of squ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Marks VJ

    更新日期:1993-02-01 00:00:00

  • On the Horizon: Cochlear Implant Technology.

    abstract::Cochlear implantation and cochlear implants (CIs) have a long history filled with innovations that have resulted in the high-performing device's currently available. Several promising technologies have been reviewed in this article, which hold the promise to drive performance even higher. Remote CI programming, totall...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.otc.2015.07.009

    authors: Roche JP,Hansen MR

    更新日期:2015-12-01 00:00:00

  • Adult cochlear implantation: the Birmingham and United Kingdom experiences.

    abstract::Cochlear implantation has been called a modern miracle and has probably exceeded the expectations of even its most ardent early pioneers. The capabilities of the preprogrammed brain permits patients, within minutes of activation, to appreciate common sounds not heard for many years and within days and weeks to compreh...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0030-6665(05)70341-8

    authors: Proops DW

    更新日期:2001-04-01 00:00:00

  • Mucosal pain disorders of the head and neck.

    abstract::Painful disease processes that affect the mucous membranes of the upper aerodigestive tract include viral and bacterial infections, hypersensitivity reactions, and immunopathologic disorders. The diagnosis and treatment of the most common diseases that cause pain are described. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Eversole LR

    更新日期:1989-12-01 00:00:00

  • Upper airway assessment: radiographic and other imaging techniques.

    abstract::Upper airway imaging is a powerful technique to study the mechanisms underlying the pathogenesis and biomechanics of sleep apnea and the mechanisms underlying the efficacy of therapeutic interventions in patients with sleep disordered breathing. The primary upper airway imaging modalities include nasopharyngoscopy, ce...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(05)70100-6

    authors: Schwab RJ,Goldberg AN

    更新日期:1998-12-01 00:00:00

  • Advanced drill technology in treatment of congenital choanal atresia.

    abstract::Congenital choanal atresia is a challenging clinical problem requiring prompt diagnosis and intervention. The method of repair is controversial, with no technique having gained universal acceptance. Proponents of the transnasal repair must acknowledge the variability of results, especially with thick bony plates, and ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Vickery CL,Gross CW

    更新日期:1997-06-01 00:00:00