Upper Airway Stimulation for Patients Declining Maxillomandibular Advancement for Treatment of Moderate to Severe Obstructive Sleep Apnea

2018 ◽  
Vol 76 (10) ◽  
pp. e19-e20
Author(s):  
C. Chang ◽  
C. Gouveia ◽  
S.Y.C. Liu
SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A200-A201
Author(s):  
P J Strollo ◽  
K Withrow ◽  
A Schell ◽  
R Soose ◽  
R Mehra ◽  
...  

2020 ◽  
Vol 13 (3) ◽  
pp. 225-233
Author(s):  
Myeong Sang Yu ◽  
Badr Ibrahim ◽  
Robert Wayne Riley ◽  
Stanley Yung-Chuan Liu

There are many ways to categorize surgery for obstructive sleep apnea (OSA), one of which is to distinguish between intrapharyngeal and extrapharyngeal procedures. While the general otolaryngologist treating OSA is familiar with intrapharyngeal procedures, such as uvulopalatopharyngoplasty and tongue base reduction, extrapharyngeal sleep operations such as maxillomandibular advancement (MMA) and upper airway stimulation (UAS) have evolved rapidly in the recent decade and deserve a dedicated review. MMA and UAS have both shown predictable high success rates with low morbidity. Each approach has unique strengths and limitations, and for the most complex of OSA patients, the two in combination complement each other. Extrapharyngeal airway operations are critical for achieving favorable outcomes for sleep surgeons.


2018 ◽  
Vol 23 (3) ◽  
pp. 879-883 ◽  
Author(s):  
Eli Van de Perck ◽  
Jolien Beyers ◽  
Marijke Dieltjens ◽  
Sara Op de Beeck ◽  
Johan Verbraecken ◽  
...  

Upper Airway Stimulation Therapy for Obstructive Sleep Apnea provides the current state of knowledge regarding this novel therapy. It reviews the pathophysiologic basis of sleep apnea and the specific mechanism by which upper airway stimulation provides airway support in this disorder. It also provides practical insights into this therapy related to patient selection, clinical outcomes, surgical technique, long-term follow-up, and adverse events and offers recommendations for those aspiring to develop an upper airway stimulation program. It provides an overview of unique populations and circumstances that may extend the utility of the procedure, and that may provide challenges in management, as well as thoughts on the future of this technology. This textbook is intended for all practitioners who have interest or care for sleep disordered breathing, including sleep medicine physicians, pulmonologists, otolaryngologists, primary care practitioners, as well as physician extenders.


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