Surgical Algorithm for Obstructive Sleep Apnea: An Update

Overview

Journal Clin Exp Otorhinolaryngol

Date 2020 Jul 8

PMID 32631040

Citations 15

Authors

Stanley Yung-Chuan Liu

Robert Wayne Riley

Myeong Sang Yu

Affiliations

Soon will be listed here.

Abstract

Sleep surgery is part of a continuum of care for obstructive sleep apnea (OSA) that involves medical, pharmacologic, and behavioral therapy. Upper airway surgery for OSA can significantly improve stability by way of modulating the critical negative closing pressure. This is the same mechanism of action as positive airway pressure or oral appliance therapy. The updated surgical algorithm in this review adds precision in three areas: patient selection, identification of previously unaddressed anatomic phenotypes with associated treatment modality, and improved techniques of previously established procedures. While the original Riley and Powell phase 1 and 2 approach to sleep surgery has focused on individual surgical success rate, this algorithm strives for an overall treatment success with multi-modal and patient-centric treatments.

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