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Obstructive Sleep Apnea

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Textbook of Clinical Otolaryngology
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Abstract

Obstructive sleep apnea (OSAS) is a very common disease characterized by repeated episodes of complete or partial obstruction of the upper airway during sleep and may lead to many cardiac and neurological complications. Individuals with obstructive sleep apnea are generally obese and present with the history of snoring and daytime drowsiness. Obesity and narrow pharyngeal airway are the most important risk factors along with the male gender. Polysomnography is considered as the gold standard for the diagnosis of OSA, which is carried out in Sleep Clinic. First line of treatment of OSA includes weight loss. Severe cases of OSA should be advised to use continuous positive airway pressure appliance (CPAP) during sleep. Various surgical procedures can also be used as the treatment options.

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References

  1. Andreasen NC, Black DW. Introductory textbook of psychiatry. Washington, DC: American Psychiatric; 2006. ISBN 978-1-58562-272-6.

    Google Scholar 

  2. Simmons J, Barlow. Requiring 4% oxygen desaturation to score hypopnea misses OSA pathology and leaves many patients untreated. An outcome study, treating OSA patients who don’t demonstrate 4% desaturation. S. Sleep. 2012;35S:135.

    Google Scholar 

  3. Remmers JE, de Groot WJ, Sauerland EK, et al. Pathogenesis of upperairway occlusion during sleep. J Appl Physiol. 1978;44:931–8.

    Article  CAS  Google Scholar 

  4. Guilleminault C, Brooks SN. Excessive daytime sleepiness: a challenge for the practicing neurologist. Brain. 2001;125(Pt 8):1482–91.

    Article  Google Scholar 

  5. Friedman M, et al. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg. 2002;127(1):13–21.

    Article  Google Scholar 

  6. Kakkar RK, et al. Interpretation of adult polysomnogram. Otolaryngol Clin N Am. 2007;40:713–43.

    Article  Google Scholar 

  7. Werman HA, Karren K, Mistovich J. Continuous positive airway pressure (CPAP). In: Werman HA, Mistovich J, Karren K, editors. Prehospital emergency care. 10th ed. Hoboken: Pearson Education Inc; 2014. p. 242.

    Google Scholar 

  8. Millman RP, Rosenberg CL, Kramer NR. Oral appliances in the treatment of snoring and sleep apnea. Otolaryngol Clin N Am. 1998;31(6):1039–48.

    Article  CAS  Google Scholar 

  9. Kahn A, et al. Uvulopalatopharyngoplasty in the management of obstructive sleep apnea: the Mayo experience. Mayo Clin Proc. 2009;84(9):795–800.

    Article  Google Scholar 

  10. Chabolle F, Wagner I, Blumen MB, et al. Tongue base reduction with hyoepiglottoplasty: a treatment for severe obstructive sleep apnea. Laryngoscope. 1999;109(8):1273–80.

    Article  CAS  Google Scholar 

  11. Cahali MB. Lateral pharyngoplasty: a new treatment for obstructive sleep apnea hypopnea syndrome. Laryngoscope. 2003;113(11):1961–8.

    Article  Google Scholar 

  12. Pang KP, Woodson BT. Expansion sphincter pharyngoplasty: a new technique for the treatment of obstructive sleep apnea. Otolaryngol Head Neck Surg. 2007;137(1):110–4.

    Article  Google Scholar 

  13. Sorrenti G, Piccin O. Functional expansion pharyngoplasty in the treatment of obstructive sleep apnea. Laryngoscope. 2013;123(11):2905–8. https://doi.org/10.1002/lary.23911.

    Article  PubMed  Google Scholar 

  14. Vicini C, Hendawy E, Campanini A, Eesa M, Bahgat A, AlGhamdi S, Meccariello G, DeVito A, Montevecchi F, Mantovani M. Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. “We are on the giant’s shoulders”. Eur Arch Otorhinolaryngol. 2015;272(10):3065–70.

    Google Scholar 

  15. Yu CC, et al. Computational fluid dynamic study on obstructive sleep apnea syndrome treated with maxillomandibular advancement. J Craniofac Surg. 2009;20(2):426–30.

    Article  Google Scholar 

  16. Vicini C, Dallan I, Canzi P, et al. Transoral robotic tongue base resection in obstructive sleep apnoea-hypopnoea syndrome: a preliminary report. ORL J Otorhinolaryngol Relat Spec. 2010;72(1):22.

    Article  Google Scholar 

  17. Lurie A. Obstructive sleep apnea in adults. Adv Cardiol. 2011;46:1–42. https://doi.org/10.1159/000327660.

    Article  Google Scholar 

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Correspondence to Medhat Shams .

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1 Electronic Supplementary Material

DISE showing that the tonsils are the site of the obstruction (C:\Users\DELL\Desktop\chapter\oropharinx1.wmv) (WMV 5844 kb)

Lateral pharyngeal wall collapses causing obstruction (C:\Users\DELL\Desktop\chapter\lat wall.wmv) (WMV 4205 kb)

Shows that the base of tongue is the site responsible for the obstruction (C:\Users\DELL\Desktop\chapter\base of tongue.wmv) (WMV 6269 kb)

Shows that airway obstruction is caused by collapse of lateral walls of hypopharynx (WMV 7067 kb)

Shows that the obstruction is caused by floppy and omega shaped epiglottis (WMV 4282 kb)

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Shams, M., AlTaweel, H. (2021). Obstructive Sleep Apnea. In: Al-Qahtani, A., Haidar, H., Larem, A. (eds) Textbook of Clinical Otolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-030-54088-3_51

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  • DOI: https://doi.org/10.1007/978-3-030-54088-3_51

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54087-6

  • Online ISBN: 978-3-030-54088-3

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