Surgical Therapy of Obstructive Sleep Apnea: A Review

Obstructive sleep apnea (OSA) is a disease characterized by intermittent and repetitive narrowing of the airway during sleep. Surgical therapies for the treatment of OSA aim to improve airway patency by addressing selected site(s) of obstruction. Because several areas may each be responsible for the...

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Bibliographic Details
Published in:Neurotherapeutics 2012-10, Vol.9 (4), p.710-716
Main Authors: Carvalho, Bettina, Hsia, Jennifer, Capasso, Robson
Format: Article
Language:English
Subjects:
Airway management
Apnea
Biomedical and Life Sciences
Biomedicine
Counseling
Endoscopy
Etiology
Humans
Magnetic resonance imaging
Morbidity
Mortality
Neurobiology
Neurology
Neurosciences
Neurosurgery
Otorhinolaryngologic Surgical Procedures - methods
Patients
Respiratory tract
Reviews
Sleep
Sleep apnea
Sleep Apnea, Obstructive - surgery
Sleep disorders
Surgery
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Description
Summary:Obstructive sleep apnea (OSA) is a disease characterized by intermittent and repetitive narrowing of the airway during sleep. Surgical therapies for the treatment of OSA aim to improve airway patency by addressing selected site(s) of obstruction. Because several areas may each be responsible for the narrowing, different surgical modalities have also been developed. In this review, we give an overview of surgery for each of potential obstruction site(s). As a consequence of the multi-factorial and heterogeneous etiology of OSA, surgical therapies need to be selected and performed specifically for each patient, as there is no perfect surgery that will fit all patients. As with any other treatment modalities for OSA, surgical therapies have variable efficacy, but are a very important tool on OSA management in selected patients and have been shown effectiveness in decreasing the morbidity and mortality associated with the disease.
ISSN:1933-7213
1878-7479
1878-7479
DOI:10.1007/s13311-012-0141-x