By Karl Hörmann, Thomas Verse
ISBN-10: 3540777857
ISBN-13: 9783540777854
ISBN-10: 3540777865
ISBN-13: 9783540777861
The therapy of sleep disordered respiring has been enriched through the advance of varied new and mostly surgical ideas. The query of which remedy most closely fits every one person sufferer has develop into a hugely subtle selection. between others, crucial elements for choosing the main acceptable remedy modality are the cruelty of the ailment, the pathology came across in the higher airway, and the websites of obstruction. for this reason, the second one variation of this e-book makes a speciality of either the surgical operation modalities and the present options for therapy decisions.
For every one method, present facts (including facts for the whole lot of 2007) have been reanalyzed in response to the foundations of evidence-based medication, and are awarded in well-arranged tables. symptoms, suggestions, issues, and particular follow-up remedies within the realm of sleep drugs were compiled within the kind of a primer.
New chapters pertaining to radiofrequency-uvulopalatoplasty and mixed taste bud tactics have been further.
Both authors run favorite otolaryngological sleep laboratories, and practice nearly 1,500 surgical sleep drugs methods in keeping with 12 months. the total surgical and sleep drugs services of the authors, in addition to the adventure of various foreign classes on sleep surgical procedure, were included into this quantity, making it an vital textbook for sleep drugs surgeons.
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Extra resources for Surgery for Sleep Disordered Breathing
Sample text
Cephalometric analysis of patients with obstructive sleep apnea (OSA), simple snorers, and normal controls does not show any significant differences concerning nasal structures [42]. In contrast, Donnelly et al. [159] found significantly reduced nasopharyngeal patency and significantly enlarged adenoids in 16 young sleep apneics as compared to 16 agematched controls. In childhood, adenoidal hypertrophy is a common feature predisposing SDB. Pediatric OSA is equally common in both sexes [507, 799].
The distribution of the collapse sites during sleep could be reproduced in 90% of the individuals during a second night if there were less than 40% or more than 60% palatal obstructions [621]. However, “lower” obstructions cannot be differentiated into tongue base and epiglottic obstructions. Furthermore, when comparing the levels of obstruction as defined during simultaneous drug-induced sleep endoscopy, there seem to be relevant differences [679]. Skatvedt recommends pressure probes in the selection of patients for laser-assisted uvulopalatopharyngoplasty (UPPP) even though there was only minimal impact on the reduction of upper hypopneas [683].
373] published a meta-analysis concerning this topic. Data of seven prospective, controlled trials including 1,368 patients were analyzed. Apart from aspirin there appeared no significant increased risk of postoperative bleeding for nonaspirin NSAIDs in this meta-analysis. 5 Indications and Contraindications As already mentioned, unfortunately no evidence exists in the literature for the efficiency of TE in the treatment of primary snoring. Nevertheless, every otolaryngological surgeon is familiar with individual cases, in which a socially disruptive snoring has disappeared after solitary TE.
Surgery for Sleep Disordered Breathing by Karl Hörmann, Thomas Verse
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