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General Aspects of Therapy

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Abstract

Treatment options for SDB are either conservative, apparative, or surgical. The decision regarding which treatment fits for which patients depends on several parameters. The most important criteria are severity of SDB, daytime symptoms, comorbidities, age (especially children or adults), BMI, site(s) of obstruction, and of course, the preferences of the patient. Today, guidelines, statements, and reviews that summarize scientific data according to evidence-based medicine criteria are available. This book highlights the data for each chapter according to the Oxford Criteria of EBM. Focussing on surgical treatment, the authors define five main areas of indication for surgery for SDB. These are (a) improvement of nasal breathing to support ventilation therapy (nasally applied CPAP), (b) minimally-invasive surgery for primary snoring and (very) mild OSA, (c) invasive surgery for mild and moderate OSA, (d) multilevel surgery for moderate and severe OSA as secondary treatment after failure or definitive interruption of ventilation therapy, and (e) adenotonsillectomy or adenotonsillotomie in pediatric OSA.

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Verse, T. (2010). General Aspects of Therapy. In: Surgery for Sleep Disordered Breathing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77786-1_2

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  • DOI: https://doi.org/10.1007/978-3-540-77786-1_2

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