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Therapy Decision-Making in Epiglottis Collapse

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The Role of Epiglottis in Obstructive Sleep Apnea
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Abstract

Epiglottis collapse (EC) can be treated nonsurgically and/or surgically. The selection of treatment modality, however, can be challenging, involving some unease and controversy. In this chapter, we propose an assessment procedure for patients with EC, based on some published data and the authors’ own experience.

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References

  1. Verse T, Pirsig W. Age-related changes in the epiglottis causing failure of nasal continuous positive airway pressure therapy. J Laryngol Otol. 1999;113(11):1022–5; [cited 2020 Mar 21]. https://www.cambridge.org/core/product/identifier/S0022215100145888/type/journal_article.

    Article  CAS  PubMed  Google Scholar 

  2. Kim H-Y, Sung C-M, Jang H-B, Kim HC, Lim SC, Yang HC. Patients with epiglottic collapse showed less severe obstructive sleep apnea and good response to treatment other than continuous positive airway pressure: a case-control study of 224 patients. J Clin Sleep Med. 2021;17(3):413–9; [cited 2020 Nov 23]. http://www.ncbi.nlm.nih.gov/pubmed/33094721.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Sung CM, Kim HC, Yang HC. The clinical characteristics of patients with an isolate epiglottic collapse. Auris Nasus Larynx. 2020;47(3):450–7.

    Article  PubMed  Google Scholar 

  4. Moore KE, Phillips C. A practical method for describing patterns of tongue-base narrowing (modification of Fujita) in awake adult patients with obstructive sleep apnea. J Oral Maxillofac Surg. 2002;60(3):252–60.

    Article  Google Scholar 

  5. Sung C-W, Chan W, Chang C-H, Huang P-C, Lien W-C, Chang W-T, et al. Associations between male gender, body size and dimension of the epiglottis. Authorea Prepr. 2020

    Google Scholar 

  6. Ma MA, Kumar R, Macey PM, Yan-Go FL, Harper RM. Epiglottis cross-sectional area and oropharyngeal airway length in male and female obstructive sleep apnea patients. Nat Sci Sleep. 2016;8:297–304; [cited 2021 Aug 9]. https://pubmed.ncbi.nlm.nih.gov/27757056/.

    Article  PubMed Central  Google Scholar 

  7. Sung CM, Tan SN, Shin M-H, Lee J, Kim HC, Lim SC, et al. The site of airway collapse in sleep apnea, its associations with disease severity and obesity, and implications for mechanical interventions. Am J Respir Crit Care Med. 2021;204(1):103–6; [cited 2021 Dec 1]. http://www.ncbi.nlm.nih.gov/pubmed/33826879.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kim HY, Sung CM, Bin JH, Kim HC, Lim SC, Yang HC. Patients with epiglottic collapse showed less severe obstructive sleep apnea and good response to treatment other than continuous positive airway pressure: a case-control study of 224 patients. J Clin Sleep Med. 2021;17(3):413–9.

    Article  PubMed Central  Google Scholar 

  9. Agrawal S, Stone P, McGuinness K, Morris J, Camilleri AE. Sound frequency analysis and the site of snoring in natural and induced sleep. Clin Otolaryngol Allied Sci. 2002;27(3):162–6. http://www.ncbi.nlm.nih.gov/pubmed/12071989.

    Article  CAS  Google Scholar 

  10. Huang Z, Aarab G, Ravesloot MJL, Zhou N, Bosschieter PFN, van Selms MKA, et al. Prediction of the obstruction sites in the upper airway in sleep-disordered breathing based on snoring sound parameters: a systematic review. Sleep Med. 2021;88:116–33. https://doi.org/10.1016/j.sleep.2021.10.015.

    Article  PubMed  Google Scholar 

  11. Lee CH, Bin WT, Kim SY, Lee WH, Han DH, Kim DY, et al. Acoustic characteristics of snoring according to obstruction site determined by sleep videofluoroscopy. Acta Otolaryngol. 2012;132(SUPPL. 1):S13.

    PubMed  Google Scholar 

  12. Hong SD, Dhong HJ, Kim HY, Sohn JH, Jung YG, Chung SK, et al. Change of obstruction level during drug-induced sleep endoscopy according to sedation depth in obstructive sleep apnea. Laryngoscope. 2013;123(11):2896–9.

    Article  PubMed  Google Scholar 

  13. Viana A, Zhao C, Rosa T, Couto A, Neves DD, Araújo-Melo MH, et al. The effect of sedating agents on drug-induced sleep endoscopy findings. Laryngoscope. 2019;129(2):506–13. https://doi.org/10.1002/lary.27298; [cited 2019 Sep 8].

    Article  CAS  PubMed  Google Scholar 

  14. Genta PR, Sands SA, Butler JP, Loring SH, Katz ES, Demko BG, et al. Airflow shape is associated with the pharyngeal structure causing OSA. Chest. 2017;152(3):537–46; [cited 2019 mar 29]. http://www.ncbi.nlm.nih.gov/pubmed/28651794.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Azarbarzin A, Marques M, Sands SA, Op de Beeck S, Genta PR, Taranto-Montemurro L, et al. Predicting epiglottic collapse in patients with obstructive sleep apnoea. Eur Respir J. 2017;50(3):1700345. https://doi.org/10.1183/13993003.00345; [cited 2021 Jul 13].

    Article  PubMed  PubMed Central  Google Scholar 

  16. Blumen MB, Latournerie V, Bequignon E, Guillere L, Chabolle F. Are the obstruction sites visualized on drug-induced sleep endoscopy reliable? Sleep Breath. 2015;19(3):1021–6.

    Article  PubMed  Google Scholar 

  17. Yanagisawa-Minami A, Sugiyama T, Iwasaki T, Yamasaki Y. Primary site identification in children with obstructive sleep apnea by computational fluid dynamics analysis of the upper airway. J Clin Sleep Med. 2020;16(3):431–9; [cited 2021 Jun 27]. http://www.ncbi.nlm.nih.gov/pubmed/31992411.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Kwon OE, Jung SY, Al-Dilaijan K, Min JY, Lee KH, Kim SW, et al. Is epiglottis surgery necessary for obstructive sleep apnea patients with epiglottis obstruction? Laryngoscope. 2019;129(11):2658–62. https://doi.org/10.1002/lary.27808; [cited 2019 Nov 20].

    Article  PubMed  Google Scholar 

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Delakorda, M., de Vries, N. (2023). Therapy Decision-Making in Epiglottis Collapse. In: Delakorda, M., de Vries, N. (eds) The Role of Epiglottis in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-031-34992-8_14

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  • DOI: https://doi.org/10.1007/978-3-031-34992-8_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-34991-1

  • Online ISBN: 978-3-031-34992-8

  • eBook Packages: MedicineMedicine (R0)

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