Advanced Surgical Techniques In Snoring And Obstructive Sleep Apnea

Accompanying CD-ROM contains ... "video files of actual procedures performed by the authors."--P. [vii].

Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our expe- ence and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care. Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.

Finally, a multi-disciplinary approach that covers both the surgical and non-surgical interventions for sleep apnea and snoring. From the editor of Operative Techniques in Otolaryngology, this new reference will quickly become the standard in surgery for this key area within otolaryngology. ., Full-color line drawings illustrate key concepts and create a comprehensive way of learning surgical techniques. Provides consistent, templated chapters and a contemporary, full-color format for quick, easy access to the most up-to-date surgical and non surgical interventions for sleep apnea and snoring. Includes contributions from leaders in neurology, pulmonology, psychiatry, otolaryngology, and oral & maxillofacial surgery. to create a truly multi-disciplinary approach. Covers new and innovative procedures including ZPP (Zeta palatopharyngoplasty), Transpalatal Advancement Pharyngoplasty and Minimally invasive submucosal glossectomy Details when and why surgery is necessary, and how to perform a successful operation for snoring and sleep apnea.

There are many books describing in detail the evaluation,diagnosis and management of OSA, but this is a first practical guide which comprehensively describes this condition. The incidence of snoring and obstructive sleep apnea is on rise and this practical guide will help not just specialists but also residents and fellows in treating their patients with Obstructive sleep apnea. Essential information is summarized in the form of charts and surgical steps are summarized in the form of diagrammatic illustration making it easy for the learners.This book additionally would help the medical practitioners to get a practical insight in the management of patients .This book will describe each entity of sleep disordered breathing, evidence based protocols , diagnostic tools required for identifying , medical therapies that will help in appropriate patients, Devices that can be used for its management . This book will also describe on how to select patients for surgery and how tailor the surgery as per the anatomy of the patient.

Obstructive sleep apnoea is a condition where the walls of the throat relax and narrow during sleep, interrupting normal breathing (NHS Choices). Surgical Management in Snoring and Sleep-Disordered Breathing is an illustrated guide to the diagnosis and treatment of patients who require surgery for obstructive sleep apnoea. Divided into 15 chapters, the book begins with sleep tests and diagnosis, upper airway exploration and guidance on classification and surgical prognosis of a patient with sleep-disordered breathing. Common modalities for exploring the upper airway, as well as techniques currently under development, are discussed in detail. Further chapters cover a range of surgical procedures. The closing chapters cover anaesthesiology, complications of obstructive sleep apnoea surgery, and the future of sleep-disordered breathing and snoring surgery. Surgical Management in Snoring and Sleep-Disordered Breathing is enhanced by 139 full colour images and illustrations, making this up-to-date and forward looking book an ideal resource for postgraduates, otolaryngologists, anaesthesiologists and surgeons. Key Points Illustrated guide to the diagnosis and surgical treatment of obstructive sleep apnoea Covers diagnosis, surgical prognosis, and surgical procedures Also covers anaesthesiology, complications of surgery, and possible future developments 139 full colour images and illustrations

In recent years, the spectrum of therapy for sleep-related breathing disorders has been immensely enriched by numerous innovative surgical procedures and techniques. Deciding which therapy is most appropriate for which patient is often a difficult matter, especially in light of the non-surgical alternatives. This book analyses the efficiency of the recognised surgical procedures; it is rooted in evidence-based medicine. Indications, techniques, complications, and specific follow-up treatments in the realm of sleep medicine have been compiled in the form of a primer. The authors are directors of one of the largest otolaryngological sleep laboratories in the world and perform approximately 1,500 surgical sleep medicine procedures per year. The complete surgical and sleep medicine know-how of the authors, as well as the experience of numerous international courses on sleep surgery, have been incorporated into this volume. It is therefore the fundamental textbook for sleep medicine surgeons.

A key new reference dedicated to the surgical management of sleep-disordered breathing... The importance of unobstructed respiration in sleep, and the long-term risks of sleep apnea, cannot be overemphasized. The therapeutic efficacy of the widely prescribed "gold standard," CPAP, is compromised by low patient acceptance and compliance. In light of the limits of CPAP and other forms of conservative therapy (e.g., mandibular advancement devices), there is a growing tendency to explore and expand the role of surgery in the treatment of severe sleep apnea. New insights and developments in pathophysiology, surgical techniques, and implants have opened the way to increased success in treating sleep apnea surgically. This new work by leading international specialists provides a detailed, evidence-based approach to selected advanced surgical techniques, beginning with patient selection criteria, discussion of indications for and against surgery, choice of procedure (also in combinations), and more. Key Features: Systematic, practice-oriented approach to examination, diagnosis, and treatment Step-by-step description of surgical concepts and techniques Superbly illustrated with full-colored photographs and drawings Focus on those procedures that have been shown to be successful in specific situations Discussion of outcomes, success rates, risks, and potential complications; where evidence-based data are not available, expert opinion is provided Current Concepts of Sleep Apnea Surgery will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery.