Tracheotomy in the management of obstructive sleep apnea

The mainstay of treatment for obstructive sleep apnea (OSA) has been tracheotomy until the introduction of continuous positive airway pressure (CPAP). At present, while tracheotomy remains as last resort, it is well documented that it improves survival rates. In patients who cannot tolerate CPAP, fa...

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Bibliographic Details
Published in:Operative techniques in otolaryngology--head and neck surgery 2015-12, Vol.26 (4), p.208-210
Main Author: Tulunay-Ugur, Ozlem E., MD
Format: Article
Language:English
Subjects:
CPAP failure
obstructive sleep apnea
Otolaryngology
Surgery
tracheostomy
tracheotomy
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Summary:The mainstay of treatment for obstructive sleep apnea (OSA) has been tracheotomy until the introduction of continuous positive airway pressure (CPAP). At present, while tracheotomy remains as last resort, it is well documented that it improves survival rates. In patients who cannot tolerate CPAP, fail upper airway surgery and weight loss, it can be life saving. Still, tracheotomy is not a procedure without complications; and with the added medical complexity of the OSA patient, the care of these patients require a team approach and diligent patient education. Tracheotomy should remain in the armamentarium of the sleep apnea surgeon as a possible treatment option with significant benefits.
ISSN:1043-1810
1557-9395
DOI:10.1016/j.otot.2015.08.006