Preoperative Assessment of Obstructive Sleep Apnea in the Ambulatory Anesthesia Patient: A Survey of Oral and Maxillofacial Surgery Providers

2019 ◽  
Vol 77 (6) ◽  
pp. 1135-1142 ◽  
Author(s):  
Jason M. Goldberg ◽  
Michael P. Johnson ◽  
Michael J. Safian
2020 ◽  
Author(s):  
Shervin Shafiei ◽  
Ahmad Sofi-Mahmudi ◽  
Mohammad Behnaz ◽  
Hannaneh Safiaghdam ◽  
Soroush Sadr

Introduction: Obstructive sleep apnea is a relatively common sleep disorder, which leads to multiple sleep arousal and hypoxemia. It also has a significant socioeconomic impact. Dentists can have a role in screening as well as treating apnea by orthodontic devices. No study has evaluated the knowledge and attitude of dental health professionals about obstructive sleep apnea (OSA) in Iran. We aimed to measure knowledge and attitude among students and faculty members of Shahid Beheshti Dental School, Tehran, Iran about OSA. Materials and Methods: We conducted a cross-sectional survey among residents and professors in oral and maxillofacial surgery, orthodontics, and oral medicine specialties and dental students. The Obstructive Sleep Apnea Knowledge and Attitude (OSAKA) questionnaire was used to obtain the information regarding knowledge and attitude. We used Chi-square, Kruskall Wallis, Mann-Whitney U test for statistical analysis. The data were analyzed by SPSS 22.0 and a p-value lower than 0.05 considered to be significant. Results: One hundred ninety-seven participants, including 43 dental students, 68 dental residents, and 64 dental professors filled the survey. Mean knowledge score among all participants was 10.69 (SD=3.133). Overall, oral medicine and oral and maxillofacial surgery professors had significantly higher correct answer ratios in the knowledge section than fifth and sixth-year dental students (p<0.001). There was no significant difference among other groups (p>0.05). About attitude, 91% of respondents reported that OSA is an important or extremely important disorder. However, only 10.2% and 16.9% felt confident about the ability to manage patients with OSA and identifying patients at risk for OSA, respectively. Conclusion: All of the participants had poor knowledge but a positive attitude towards OSA. This shows the necessity of better education about OSA.


2012 ◽  
Vol 70 (1) ◽  
pp. 179-187 ◽  
Author(s):  
Jeffrey M. Tanner ◽  
Tina I. Chang ◽  
Nancy D. Harada ◽  
Silverio M. Santiago ◽  
Jane E. Weinreb ◽  
...  

2018 ◽  
Vol 31 (1) ◽  
pp. 89-95 ◽  
Author(s):  
Poorna Madhusudan ◽  
Jean Wong ◽  
Arun Prasad ◽  
Elena Sadeghian ◽  
Frances F. Chung

1993 ◽  
Vol 72 (1) ◽  
pp. 67-76 ◽  
Author(s):  
Shiro Fujita

This paper describes the pathophysiology of the upper airway and the methods of evaluation which include mainly the Mueller maneuver, and cephalometrics. The management of Obstructive Sleep Apnea Syndrome (OSAS) is determined by the level of daytime dysfunction, the degree of cardiopulmonary complications, age, co-existing medical problems, life style, and the extent of the upper airway obstruction and abnormality. Continuous positive airway pressure (C-PAP), uvulopalatopharyngoplasty (UPPP), and permanent tracheostomy are procedures indicated depending on the severity of the case. Midline laser glossectomy was introduced as a new surgical procedure approach to the treatment of OSAS, as an alternative to maxillofacial surgery. When combined with UPPP, the successful results are improved.


1989 ◽  
Vol 101 (3) ◽  
pp. 353-361 ◽  
Author(s):  
Robert W. Riley ◽  
Nelson B. Powell ◽  
Christian Guilleminault

To determine the effectiveness of the surgical treatment of obstructive sleep apnea, we retospectively evaluated 80 patients. One group consisted of 55 patients who had undergone a limited osteotomy of the anterior mandible: Inferior sagittal osteotomy with hyold myotomy and suspension. Important criteria for the selection of these patients were normal pulmonary function, normal mandibular skeletal development, and the absence of morbid obesity. Polysomnography revealed that 37 patients (67%) had responded to the surgical treatment and 18 patients (33%) had not. The second group of 25 patients, selected for morbid obesity, severe mandibular deficiency, and failure of other surgical procedures, had undergone maxillomandibular osteotomy with hyold advancement. All patients in the second group showed good results, as determined by polysomnography.


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