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Erschienen in: Neurotherapeutics 4/2012

01.10.2012

Surgical Therapy of Obstructive Sleep Apnea: A Review

verfasst von: Bettina Carvalho, Jennifer Hsia, Robson Capasso

Erschienen in: Neurotherapeutics | Ausgabe 4/2012

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Abstract

Obstructive sleep apnea (OSA) is a disease characterized by intermittent and repetitive narrowing of the airway during sleep. Surgical therapies for the treatment of OSA aim to improve airway patency by addressing selected site(s) of obstruction. Because several areas may each be responsible for the narrowing, different surgical modalities have also been developed. In this review, we give an overview of surgery for each of potential obstruction site(s). As a consequence of the multi-factorial and heterogeneous etiology of OSA, surgical therapies need to be selected and performed specifically for each patient, as there is no perfect surgery that will fit all patients. As with any other treatment modalities for OSA, surgical therapies have variable efficacy, but are a very important tool on OSA management in selected patients and have been shown effectiveness in decreasing the morbidity and mortality associated with the disease.
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Literatur
1.
Zurück zum Zitat Marshall NS, Wong KKH, Liu PY, Cullen SRJ, Knuiman MW, Grunstein RR. Sleep apnea as an independent risk factor for all-cause mortality: The Busselton Health Study. Sleep 2008;31:1079–1085.PubMed Marshall NS, Wong KKH, Liu PY, Cullen SRJ, Knuiman MW, Grunstein RR. Sleep apnea as an independent risk factor for all-cause mortality: The Busselton Health Study. Sleep 2008;31:1079–1085.PubMed
2.
Zurück zum Zitat Desai T, Khan M, Bhatt NY. Positive airway pressure treatment of adult patients with obstructive sleep apnea. Sleep Med Clin 2010;5:347–359.CrossRef Desai T, Khan M, Bhatt NY. Positive airway pressure treatment of adult patients with obstructive sleep apnea. Sleep Med Clin 2010;5:347–359.CrossRef
3.
Zurück zum Zitat Weaver TE, Maislin G, Dinges DF, et al. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 2007;30:711–719.PubMed Weaver TE, Maislin G, Dinges DF, et al. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 2007;30:711–719.PubMed
4.
Zurück zum Zitat Marin JM, Carrizo SJ, Vicente E, Agusti AGN. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005; 365:1046–1053.PubMed Marin JM, Carrizo SJ, Vicente E, Agusti AGN. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005; 365:1046–1053.PubMed
5.
Zurück zum Zitat Young T, Finn L, Peppard PE, et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep 2008;31:1071–1078.PubMed Young T, Finn L, Peppard PE, et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep 2008;31:1071–1078.PubMed
6.
Zurück zum Zitat Maurer JT. Update on surgical treatment for sleep apnoea. Swiss Med Wkly 2009;139:624–629.PubMed Maurer JT. Update on surgical treatment for sleep apnoea. Swiss Med Wkly 2009;139:624–629.PubMed
7.
Zurück zum Zitat Lin S-W, Chen N-H, Li H-Y, et al. A Comparison of the long-term outcome and effects of Surgery or continuous positive airway pressure on patients with obstructive sleep apnea syndrome. Laryngoscope 2006;116:1012–1016.PubMedCrossRef Lin S-W, Chen N-H, Li H-Y, et al. A Comparison of the long-term outcome and effects of Surgery or continuous positive airway pressure on patients with obstructive sleep apnea syndrome. Laryngoscope 2006;116:1012–1016.PubMedCrossRef
8.
Zurück zum Zitat Steward DL, Weaver EM, Woodson BT. Multilevel temperature-controlled radiofrequency for obstructive sleep apnea: Extended follow-up. Otolaryngol Head Neck Surg 2005;132:630–635.PubMedCrossRef Steward DL, Weaver EM, Woodson BT. Multilevel temperature-controlled radiofrequency for obstructive sleep apnea: Extended follow-up. Otolaryngol Head Neck Surg 2005;132:630–635.PubMedCrossRef
9.
Zurück zum Zitat Sher AE. Upper airway surgery for obstructive sleep apnea. Sleep medicine reviews 2002;6:195–212.PubMedCrossRef Sher AE. Upper airway surgery for obstructive sleep apnea. Sleep medicine reviews 2002;6:195–212.PubMedCrossRef
10.
Zurück zum Zitat Holty J-E C, Guilleminaut C. Surgical options for the treatment of obstructive sleep apnea. Med Clin N Am 2010;94:479–515.PubMedCrossRef Holty J-E C, Guilleminaut C. Surgical options for the treatment of obstructive sleep apnea. Med Clin N Am 2010;94:479–515.PubMedCrossRef
11.
Zurück zum Zitat Thakkar K, Yao M. Diagnostic studies in obstructive sleep apnea. Otolaryngol Clin North Am 2007;40:785–805.PubMedCrossRef Thakkar K, Yao M. Diagnostic studies in obstructive sleep apnea. Otolaryngol Clin North Am 2007;40:785–805.PubMedCrossRef
12.
Zurück zum Zitat Kezirian EJ. Drug-induced sleep endoscopy. Operat Tech Otolaryngol Head Neck Surg 2006;17:230–232.CrossRef Kezirian EJ. Drug-induced sleep endoscopy. Operat Tech Otolaryngol Head Neck Surg 2006;17:230–232.CrossRef
13.
Zurück zum Zitat Barrera JE, Holbrook AB, Santos J, Popelka GR. Sleep MRI: novel technique to identify airway obstruction in obstructive sleep apnea. Otolaryngol Head Neck Surg 2009;140:423–425.PubMedCrossRef Barrera JE, Holbrook AB, Santos J, Popelka GR. Sleep MRI: novel technique to identify airway obstruction in obstructive sleep apnea. Otolaryngol Head Neck Surg 2009;140:423–425.PubMedCrossRef
14.
Zurück zum Zitat Rodriguez-Bruno K, Goldberg AN, McCulloch, Kezirian EJ. Test-retest reliability of drug-induced endoscopy. Otolaryngol Head Neck Surg 2009;140:646–651.PubMedCrossRef Rodriguez-Bruno K, Goldberg AN, McCulloch, Kezirian EJ. Test-retest reliability of drug-induced endoscopy. Otolaryngol Head Neck Surg 2009;140:646–651.PubMedCrossRef
15.
Zurück zum Zitat Kezirian EJ, White DP, Malhotra A, Ma W, McCulloch CE, Goldberg AN. Interrater reliability of drug-induced sleep endoscopy. Arch Otolaryngol Head Neck Surg 2010;136:393–397.PubMedCrossRef Kezirian EJ, White DP, Malhotra A, Ma W, McCulloch CE, Goldberg AN. Interrater reliability of drug-induced sleep endoscopy. Arch Otolaryngol Head Neck Surg 2010;136:393–397.PubMedCrossRef
16.
Zurück zum Zitat Barrera JE, Chang RC, Popelka GR, Holbrook AB. Reliability of airway obstruction analyses from Sleep MRI sequences. Otolaryngol Head Neck Surgery 2010;142:526–530.CrossRef Barrera JE, Chang RC, Popelka GR, Holbrook AB. Reliability of airway obstruction analyses from Sleep MRI sequences. Otolaryngol Head Neck Surgery 2010;142:526–530.CrossRef
17.
Zurück zum Zitat Powell NB, Riley RW, Guilleminault C, Murcia GN. Obstructive sleep apnea, continuous positive airway pressure, and surgery. Otolaryngol Head Neck Surg 1988;99:362–369.PubMed Powell NB, Riley RW, Guilleminault C, Murcia GN. Obstructive sleep apnea, continuous positive airway pressure, and surgery. Otolaryngol Head Neck Surg 1988;99:362–369.PubMed
18.
Zurück zum Zitat Aurora RN, Casey KR, Kristo D, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep 2010;33:1408–1413.PubMed Aurora RN, Casey KR, Kristo D, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep 2010;33:1408–1413.PubMed
19.
Zurück zum Zitat Adesanya AO, Lee W, Greilich NB, Joshi GP. Perioperative Management of obstructive sleep apnea. Chest 2010;138:1489–1498.PubMedCrossRef Adesanya AO, Lee W, Greilich NB, Joshi GP. Perioperative Management of obstructive sleep apnea. Chest 2010;138:1489–1498.PubMedCrossRef
20.
21.
Zurück zum Zitat Goode RL. Success and failure in treatment of sleep apnea patients. Otolaryngol Clin N Am 2007;40:891–901.CrossRef Goode RL. Success and failure in treatment of sleep apnea patients. Otolaryngol Clin N Am 2007;40:891–901.CrossRef
22.
Zurück zum Zitat Epstein LJ, Kristo D, Strollo PJ, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine 2009;5:263–276.PubMed Epstein LJ, Kristo D, Strollo PJ, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine 2009;5:263–276.PubMed
23.
Zurück zum Zitat Fitzpatrick MF, Mclean H, Urton AM, O’Donnel D, Driver HS. Effect of nasal or oral breathing on upper airway resistance during sleep. Eur Respir J 2003;22:827–832.PubMedCrossRef Fitzpatrick MF, Mclean H, Urton AM, O’Donnel D, Driver HS. Effect of nasal or oral breathing on upper airway resistance during sleep. Eur Respir J 2003;22:827–832.PubMedCrossRef
24.
Zurück zum Zitat Wheatley JR, Amis TC, Engel LA. Nasal and oral airway pressure-flow relantionships. J Appl Physil 1991;71:2317–2324. Wheatley JR, Amis TC, Engel LA. Nasal and oral airway pressure-flow relantionships. J Appl Physil 1991;71:2317–2324.
25.
Zurück zum Zitat Powell NB, Zonato AI, Weaver EM, et al. Radiofrequency treatment of turbinate hypertrophy in subjects using continuous positive airway pressure: a randomized, double-blind, placebo-controlled clinical pilot trial. Laryngoscope 2001;111:1783–1790.PubMedCrossRef Powell NB, Zonato AI, Weaver EM, et al. Radiofrequency treatment of turbinate hypertrophy in subjects using continuous positive airway pressure: a randomized, double-blind, placebo-controlled clinical pilot trial. Laryngoscope 2001;111:1783–1790.PubMedCrossRef
26.
Zurück zum Zitat Fujita S, Conway W, Zorick F. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923–934.PubMed Fujita S, Conway W, Zorick F. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923–934.PubMed
27.
Zurück zum Zitat Collop N. Advances in treatment of obstructive sleep apnea syndrome. Curr Treat Options Neurol 2009;11:340–348.PubMedCrossRef Collop N. Advances in treatment of obstructive sleep apnea syndrome. Curr Treat Options Neurol 2009;11:340–348.PubMedCrossRef
28.
Zurück zum Zitat Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg 2002;127:13–21.PubMedCrossRef Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg 2002;127:13–21.PubMedCrossRef
29.
Zurück zum Zitat Caples SM, Rowley JA, Prinsell JR, et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep 2010;33:1396–1407.PubMed Caples SM, Rowley JA, Prinsell JR, et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep 2010;33:1396–1407.PubMed
30.
Zurück zum Zitat Chandrashekariah R, Shaman Z, Auckley D. Impact of upper airway surgery on CPAP compliance in difficult-to-manage obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2008;134:926–930.PubMedCrossRef Chandrashekariah R, Shaman Z, Auckley D. Impact of upper airway surgery on CPAP compliance in difficult-to-manage obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2008;134:926–930.PubMedCrossRef
31.
Zurück zum Zitat Ryan CF, Love LL. Unpredictable results of laser assisted uvulopalatoplasty in the treatment of obstructive sleep apnoea. Thorax 2000;55:399–404.PubMedCrossRef Ryan CF, Love LL. Unpredictable results of laser assisted uvulopalatoplasty in the treatment of obstructive sleep apnoea. Thorax 2000;55:399–404.PubMedCrossRef
32.
Zurück zum Zitat Finkelstein Y, Stein G, Ophir D, Berger R, Berger G. Laser-assisted uvulopalatoplasty for the management of obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2002;128:429–434.PubMed Finkelstein Y, Stein G, Ophir D, Berger R, Berger G. Laser-assisted uvulopalatoplasty for the management of obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2002;128:429–434.PubMed
33.
Zurück zum Zitat Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric reduction of the palate: an extended follow-up study. Otolaryngol Head Neck Surg 2000;122:410–414.PubMedCrossRef Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric reduction of the palate: an extended follow-up study. Otolaryngol Head Neck Surg 2000;122:410–414.PubMedCrossRef
34.
Zurück zum Zitat Back LJJ, Hytonen ML, Roine RP, Malmivaara AOV. Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope 2009;119:1241–1250.PubMedCrossRef Back LJJ, Hytonen ML, Roine RP, Malmivaara AOV. Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope 2009;119:1241–1250.PubMedCrossRef
35.
Zurück zum Zitat Friedman M, Schalch P, Lin HC, Kakodkar KA, Joseph NJ, Mazloom N. Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg 2008;138:209–216.PubMedCrossRef Friedman M, Schalch P, Lin HC, Kakodkar KA, Joseph NJ, Mazloom N. Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg 2008;138:209–216.PubMedCrossRef
36.
Zurück zum Zitat Nashi N, Kang S, Barkdull GC, Lucas J, Davidson TM. Lingual fat at autopsy. Laryngoscope 2007;117:1467–1473.PubMedCrossRef Nashi N, Kang S, Barkdull GC, Lucas J, Davidson TM. Lingual fat at autopsy. Laryngoscope 2007;117:1467–1473.PubMedCrossRef
37.
Zurück zum Zitat Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008;5:144–153.PubMedCrossRef Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008;5:144–153.PubMedCrossRef
38.
Zurück zum Zitat Kezirian EJ, Goldberg AN. Hypopharyngeal surgery in obstructive sleep apnea: an evidence-based medicine review. Arch Otolaryngol Head Neck Surg 2006;132:206–213.PubMedCrossRef Kezirian EJ, Goldberg AN. Hypopharyngeal surgery in obstructive sleep apnea: an evidence-based medicine review. Arch Otolaryngol Head Neck Surg 2006;132:206–213.PubMedCrossRef
39.
Zurück zum Zitat Nelson LM, Barrera JE. High energy single session radiofrequency tongue treatment in obstructive sleep apnea surgery. Otolaryngol Head Neck Surg 2007;137:883–888.PubMedCrossRef Nelson LM, Barrera JE. High energy single session radiofrequency tongue treatment in obstructive sleep apnea surgery. Otolaryngol Head Neck Surg 2007;137:883–888.PubMedCrossRef
40.
Zurück zum Zitat Li KK, Riley RW, Powell NB, Troell RJ. Obstructive sleep apnea surgery: genioglossus advancement revisited. J Oral Maxillofac Surg 2001;59:1181–1184.PubMedCrossRef Li KK, Riley RW, Powell NB, Troell RJ. Obstructive sleep apnea surgery: genioglossus advancement revisited. J Oral Maxillofac Surg 2001;59:1181–1184.PubMedCrossRef
41.
Zurück zum Zitat Bowden MT, Kezirian EJ, Utley D, Goode RL. Outcomes of hyoid suspension for the treatment of obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2005;131:440–445.PubMedCrossRef Bowden MT, Kezirian EJ, Utley D, Goode RL. Outcomes of hyoid suspension for the treatment of obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2005;131:440–445.PubMedCrossRef
42.
Zurück zum Zitat Prinsell JR. Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients. Chest 1999;116:1519–1529.PubMedCrossRef Prinsell JR. Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients. Chest 1999;116:1519–1529.PubMedCrossRef
43.
Zurück zum Zitat Holty JE, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev 2010;14:287–297.PubMedCrossRef Holty JE, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev 2010;14:287–297.PubMedCrossRef
44.
Zurück zum Zitat Li KK, Riley RW, Powell NB, Gervacio L, Troell RJ, Guilleminault C. Obstructive sleep apnea surgery: patients’ perspective and polysomnographic results. Otolaryngol Head Neck Surg 2000;123:572–575.PubMedCrossRef Li KK, Riley RW, Powell NB, Gervacio L, Troell RJ, Guilleminault C. Obstructive sleep apnea surgery: patients’ perspective and polysomnographic results. Otolaryngol Head Neck Surg 2000;123:572–575.PubMedCrossRef
45.
Zurück zum Zitat Prinsell JR. Maxillomandibular advancement surgery for obstructive sleep apnea syndrome. J Am Dent Assoc 2002;133:1489–1497.PubMed Prinsell JR. Maxillomandibular advancement surgery for obstructive sleep apnea syndrome. J Am Dent Assoc 2002;133:1489–1497.PubMed
46.
Zurück zum Zitat Guilleminault C, Simmons FB, Motta J, Cummiskey J, Rosekind M, Schroeder JS, Dement WC. Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience. Arch Intern Med 1981;141:985–988.PubMedCrossRef Guilleminault C, Simmons FB, Motta J, Cummiskey J, Rosekind M, Schroeder JS, Dement WC. Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience. Arch Intern Med 1981;141:985–988.PubMedCrossRef
47.
Zurück zum Zitat Kim SH, Eisele DW, Smith PL, Schneider H, Schwartz AR. Evaluation of patients with sleep apnea after tracheotomy. Arch Otolaryngol Head Neck Surg 1998;124:996–1000.PubMed Kim SH, Eisele DW, Smith PL, Schneider H, Schwartz AR. Evaluation of patients with sleep apnea after tracheotomy. Arch Otolaryngol Head Neck Surg 1998;124:996–1000.PubMed
48.
Zurück zum Zitat Haines KL, Nelson LG, Honzalez R, Torrella T, Martin T, Kandil A, Dragotti, Anderson WM, Gallagher SF, Murr MM. Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea. Surgery 2007;141:354–358.PubMedCrossRef Haines KL, Nelson LG, Honzalez R, Torrella T, Martin T, Kandil A, Dragotti, Anderson WM, Gallagher SF, Murr MM. Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea. Surgery 2007;141:354–358.PubMedCrossRef
49.
Zurück zum Zitat AACE/TOS/ASMBS Bariatric Surgery Guidelines. Endocr Pract 2008;14(suppl 1):1–83. AACE/TOS/ASMBS Bariatric Surgery Guidelines. Endocr Pract 2008;14(suppl 1):1–83.
50.
Zurück zum Zitat Riley RW, Powell NB, Li KK, Troell RJ, Guilleminaut C. Surgery and obstructive sleep apnea: long-term clinical outcomes. Otolaryngol Head Neck Surg 2000;122:415–21.PubMedCrossRef Riley RW, Powell NB, Li KK, Troell RJ, Guilleminaut C. Surgery and obstructive sleep apnea: long-term clinical outcomes. Otolaryngol Head Neck Surg 2000;122:415–21.PubMedCrossRef
51.
Zurück zum Zitat Friedman M, Lin H-C, Gurpinar B, Joseph NJ. Minimally invasive single-stage multilevel treatment for obstructive sleep apnea. Laryngoscope 2007;117:1859–1863.PubMedCrossRef Friedman M, Lin H-C, Gurpinar B, Joseph NJ. Minimally invasive single-stage multilevel treatment for obstructive sleep apnea. Laryngoscope 2007;117:1859–1863.PubMedCrossRef
52.
Zurück zum Zitat Lin H-C, Friedman M, Chang H-W, Gurpinar B. The efficacy of multilevel surgery of the upper airway in adults with obstructive sleep apnea/ hypopnea syndrome. Laryngoscope 2008;118:902–908.PubMedCrossRef Lin H-C, Friedman M, Chang H-W, Gurpinar B. The efficacy of multilevel surgery of the upper airway in adults with obstructive sleep apnea/ hypopnea syndrome. Laryngoscope 2008;118:902–908.PubMedCrossRef
53.
Zurück zum Zitat Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117–125.PubMed Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117–125.PubMed
54.
Zurück zum Zitat Chan J, Edman JC, Koltai PJ. Obstructive sleep apnea in children. Am Fam Physician 2004;69:1147–1155.PubMed Chan J, Edman JC, Koltai PJ. Obstructive sleep apnea in children. Am Fam Physician 2004;69:1147–1155.PubMed
55.
Zurück zum Zitat Guilleminault C, Lee JH, Chan A. Pediatric obstructive sleep apnea syndrome. Arch Pediatr Adolesc Med 2005;159:775–785.PubMedCrossRef Guilleminault C, Lee JH, Chan A. Pediatric obstructive sleep apnea syndrome. Arch Pediatr Adolesc Med 2005;159:775–785.PubMedCrossRef
56.
Zurück zum Zitat Llombart M, Chiner E, Gomez Merino E, et al. Sleep apnea-hypopnea syndrome in a pediatric population: differences between children with tonsillar hypertrophy and those with concomitant disease. Arch Bronconeumol 2007;43:655–661.PubMedCrossRef Llombart M, Chiner E, Gomez Merino E, et al. Sleep apnea-hypopnea syndrome in a pediatric population: differences between children with tonsillar hypertrophy and those with concomitant disease. Arch Bronconeumol 2007;43:655–661.PubMedCrossRef
57.
Zurück zum Zitat Lipton AJ, Gozal D. Treatment of obstructive sleep apnea in children: Do we really know how? Sleep Med Rev 2003;7:61–80.PubMedCrossRef Lipton AJ, Gozal D. Treatment of obstructive sleep apnea in children: Do we really know how? Sleep Med Rev 2003;7:61–80.PubMedCrossRef
58.
Zurück zum Zitat Kuhle S, Urschitz MS, Eitner S, Poets CF. Interventions for obstructive sleep apnea in children: a systematic review. Sleep Med Rev 2009;13:123–131.PubMedCrossRef Kuhle S, Urschitz MS, Eitner S, Poets CF. Interventions for obstructive sleep apnea in children: a systematic review. Sleep Med Rev 2009;13:123–131.PubMedCrossRef
59.
Zurück zum Zitat Villa MP, Malagola C, Pagani J, et al. Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up. Sleep Med 2007;8:128–134.PubMedCrossRef Villa MP, Malagola C, Pagani J, et al. Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up. Sleep Med 2007;8:128–134.PubMedCrossRef
60.
Zurück zum Zitat Villa MP, Rizzoli A, Miano S, Malagola C. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 2011;15:179–184.PubMedCrossRef Villa MP, Rizzoli A, Miano S, Malagola C. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 2011;15:179–184.PubMedCrossRef
61.
Zurück zum Zitat Teng L, Sun XM, Wu GP, Heggie AA, Holmes AD. [Mandibular distraction osteogenesis in the treatment of obstructive sleep apnea syndrome in children with micrognathia]. Zhonghua Zheng Xing Wai Ke Za Zhi 2005;21:248–251.PubMed Teng L, Sun XM, Wu GP, Heggie AA, Holmes AD. [Mandibular distraction osteogenesis in the treatment of obstructive sleep apnea syndrome in children with micrognathia]. Zhonghua Zheng Xing Wai Ke Za Zhi 2005;21:248–251.PubMed
62.
Zurück zum Zitat Farrokhyar F, Karanicolas PJ, Thoma A, et al. Randomized controlled trials of surgical interventions. Ann Surg 2010;251:409–416.PubMedCrossRef Farrokhyar F, Karanicolas PJ, Thoma A, et al. Randomized controlled trials of surgical interventions. Ann Surg 2010;251:409–416.PubMedCrossRef
63.
Zurück zum Zitat Kezirian EJ, Weaver EM, Criswell MA, de Vries N, Woodson BT, Piccirillo JF. Reporting results of obstructive sleep apnea syndrome surgery trials. Otolaryngology Head Neck Surg 2011;144:496–499.CrossRef Kezirian EJ, Weaver EM, Criswell MA, de Vries N, Woodson BT, Piccirillo JF. Reporting results of obstructive sleep apnea syndrome surgery trials. Otolaryngology Head Neck Surg 2011;144:496–499.CrossRef
64.
Zurück zum Zitat Friedman M, Wilson M. Re-redefining success in airway surgery for obstructive sleep apnea. Sleep 2009;32:17. Friedman M, Wilson M. Re-redefining success in airway surgery for obstructive sleep apnea. Sleep 2009;32:17.
65.
Zurück zum Zitat Weaver EM, Maynard C, Yueh B. Survival of veterans with sleep apnea: Continuous positive airway pressure versus surgery. Otolaryngol Head Neck Surg 2004;130: 659–665.PubMedCrossRef Weaver EM, Maynard C, Yueh B. Survival of veterans with sleep apnea: Continuous positive airway pressure versus surgery. Otolaryngol Head Neck Surg 2004;130: 659–665.PubMedCrossRef
66.
Zurück zum Zitat Weaver EM. Sleep apnea devices and sleep apnea surgery should be compared on effectiveness, not efficacy. [Communications to the Editor]. Chest 2003;123;961–962.PubMedCrossRef Weaver EM. Sleep apnea devices and sleep apnea surgery should be compared on effectiveness, not efficacy. [Communications to the Editor]. Chest 2003;123;961–962.PubMedCrossRef
67.
Zurück zum Zitat Marti S, Sampol G, Munoz X, Torres F, Roca A, Lloberes P, Sagales T, Quesada P, Morell F. Mortality in severe apnoea/hypopnoea syndrome patients: impact of treatment. Eur Respir J 2002;20:1511–1518.PubMedCrossRef Marti S, Sampol G, Munoz X, Torres F, Roca A, Lloberes P, Sagales T, Quesada P, Morell F. Mortality in severe apnoea/hypopnoea syndrome patients: impact of treatment. Eur Respir J 2002;20:1511–1518.PubMedCrossRef
68.
Zurück zum Zitat Goh YH, Mark I, Fee Jr WE. Quality of life 17 to 20 years after uvulopalatopharyngoplasty. Laryngoscope 2007;117:503–506.PubMedCrossRef Goh YH, Mark I, Fee Jr WE. Quality of life 17 to 20 years after uvulopalatopharyngoplasty. Laryngoscope 2007;117:503–506.PubMedCrossRef
Metadaten
Titel
Surgical Therapy of Obstructive Sleep Apnea: A Review
verfasst von
Bettina Carvalho
Jennifer Hsia
Robson Capasso
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Neurotherapeutics / Ausgabe 4/2012
Print ISSN: 1933-7213
Elektronische ISSN: 1878-7479
DOI
https://doi.org/10.1007/s13311-012-0141-x

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Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Update Neurologie

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