Recent years have brought many significant changes to the field of sleep apnea and snoring, and this revised 2nd Edition keeps you up to date with every effective intervention. Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy, 2nd Edition, takes a focused, multidisciplinary approach to all sleep apnea and snoring related illnesses, making it an outstanding reference for surgery in this key area within otolaryngology. New chapters, new video clips, new techniques and procedures, and new contributing authors ensure that you're completely up to date. Covers recent topics such as transoral robotic assisted surgery, new techniques in nasal valve repair, and pediatric patients and sleep apnea. New video clips show a variety of procedures including maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea, maxillary distraction osteogenesis with palatal implants for obstructive sleep apnea, drug induced sleep endoscopy for pediatric patients, and more. New chapters cover home sleep testing, lingual tonsil grading system, algorithms for surgery and for multi-level treatment, new techniques in nasal valve repair, and transoral robotic assisted surgery (TORS for OSA). New authors and associate editors provide a fresh perspective throughout the text. Includes contributions from leaders in neurology, pulmonology, psychiatry, otolaryngology, and oral and maxillofacial surgery to create a truly multi-disciplinary approach. Uses a consistent, templated, full-color format for quick, easy access to the most up-to-date surgical and non-surgical interventions for sleep apnea and snoring. Details when and why surgery is necessary, and how to perform a successful operation for snoring and sleep apnea. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Section A INTRODUCTION 1. The role of the otolaryngologist and future perspectives in the treatment of snoring and obstructive sleep apnea Section B DIAGNOSIS 2. Signs and symptoms of obstructive sleep apnea and upper airway resistance syndrome 3. Airway evaluation in obstructive sleep apnea 4. Clinical polysomnography 5. Home Sleep Testing 6. Drug-Induced Sleep Endoscopy (DISE) Section C NON-SURGICAL TREATMENT OF OSA/HS 7. Obstructive sleep apnea: decision making and treatment algorithm 8. CPAP, APAP and BIPAP 9. Analysis of NCPAP failures 10. Oral Appliance Therapy by the Otolaryngologist Section D SURGICAL TREATMENT OF OSA/HS 11. Rationale and indications for surgical treatment 12. The impact of surgical treatment of OSA on cardiac risk factors Section E ANESTHESIA FOR OSA/HS 13. Perioperative monitoring in obstructive sleep apnea hypopnea syndrome 14. Perioperative and anesthesia management Section F TREATMENT SELECTION 15. Friedman tongue position and the staging of obstructive sleep apnea/hypopnea syndrome 16. Algorithm for Surgery: Palatopharyngoplasty First and Foremost 17. Algorithm for Multilevel Treatment: Riley-Powell and Stanford Experience 18. Lingual Tonsil Grading System 19. The Effect of Oral Positioning on the Hypopharyngeal Airway 20. Algorithm for Multilevel Treatment Section G NASAL SURGERY FOR THE TREATMENT OF OSA/HS 21. Nasal obstruction and sleep- disordered breathing 22. Minimally Invasive Nasal valve repair 23. Plastic Surgery Techniques for Correction of Nasal Valve Collapse 24. New Techniques in Nasal Valve Repair 25. Inferior Turbinate Reduction Section H MINIMALLY INVASIVE PALATAL PROCEDURES 26. Role of Laser Surgery in Treatment of OSA 27. Cautery Assisted Palate Surgery and Anterior Palatoplasty 28. Injection snoreplasty 29. Sling Snoreplasty 30. Elevoplasty 31. Soft Palate Implants Section I PALATAL SURGERY 32. Classic Uvulopalatopharyngoplasty 33. Uvulopalatopharyngoplasty - Patient Selection and Effects on the Airway 34. Uvulopalatopharyngoplasty - the Fairbanks technique 35. Zetapalatopharyngoplasty (ZPP) 36. The uvulopalatal flap 37. Modified uvulopalatopharyngoplasty with uvula preservation 38. Transpalatal advancement pharyngoplasty 39. Expansion sphincter pharyngoplasty 40. Lateral pharyngoplasty 41. Barbed Snore Surgery, BSS Section J MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES 42. Fundamentals of minimally invasive radiofrequency applications in ear, nose and throat medicine 43. Radiofrequency tongue base reduction in sleep-disordered breathing 44. Endoscopic Coblator Open Tongue Base Resection for Obstructive Sleep Apnea 45. A minimally invasive technique for tongue base stabilization 46. Endoscopic coblation lingual tonsillectomy 47. Electrical Stimulation 48. Upper Airway Stimulation: Implanted Neurostimulation Device for Treatment of Obstructive Sleep Apnea 49. Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep Apnea Section K HYPOPHARYNGEAL SURGERY 50. Multilevel pharyngeal surgeryfor obstructive sleep apnea 51. External Submucosal Glossectomy 52. Genioglossus advancement in sleep apnea surgery 53. Hyoid suspension 54. Management of the Epiglottis 55. Trans-Oral Robotic assisted Surgery (TORS) for OSA 56. Multilevel surgery with/without genioglossal advancement Section L MAXILLOFACIAL SURGICAL TECHNIQUES 57. Maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea 58. Modified maxillomandibular advancement technique 59. Maxillary Distraction Osteogenesis with Palatal Implants for Obstructive Sleep Apnea Section M TRACHEOSTOMY FOR OSAHS 60. Tracheostomy for sleep apnea 61. Speech-ready, long-term tube-free tracheostomy for obstructive sleep apnea Section N POSTOPERATIVE MANAGEMENT AND COMPLICATIONS 62. The postoperative management of OSA patients after uvulopalatopharyngoplasty. Inpatient or outpatient? 63. Multi-modality management of nasopharyngeal stenosis following uvulopalatopharyngoplasty 64. Current techniques for the treatment of velopharyngeal insufficiency 65. Uvulopalatopharyngoplasty: analysis of failure 66. Salvage of failed palate procedures for sleep-disordered breathing 67. Revision uvulopalatopharyngoplasty (UPPP) by Z-palatoplasty (ZPP) Section O PEDIATRIC OSAHS 68. Management of sleep-related breathing disorders in children 69. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea 70. Current techniques of adenoidectomy 71. Intracapsular Microdebrider-assisted and Coblation tonsillectomy 72. Laryngomalacia 73. Drug Induced Sleep Endoscopy for Children 74. Prevention and Correction of Pediatric OSA and Post-T&A Relapse: A Non-surgical Orthodontic Approach Section P FUTURE OF OSA TREATMENT 75. Innovations in Surgical Treatment of OSA