Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea

被引:11
作者
Yu, Myeong Sang [1 ,2 ]
Ibrahim, Badr [1 ]
Riley, Robert Wayne [1 ]
Liu, Stanley Yung-Chuan [1 ]
机构
[1] Stanford Hosp & Clin, Dept Otolaryngol Head & Neck Surg, Div Sleep Surg, Stanford, CA USA
[2] Univ Ulsan, Asan Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea
关键词
Obstructive Sleep Apnea; Sleep Surgery; Maxillomandibular Advancement; Facial Skeletal Surgery; Hypoglossal Nerve Stimulation; Upper Airway Stimulation; COMPUTATIONAL FLUID-DYNAMICS; HYPOGLOSSAL NERVE; MANAGEMENT; ENDOSCOPY; OUTCOMES; THERAPY; SUCCESS; ADULTS; FLOW; WALL;
D O I
10.21053/ceo.2020.00360
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
There are many ways to categorize surgery for obstructive sleep apnea (OSA), one of which is to distinguish between intrapharyngeal and extrapharyngeal procedures. While the general otolaryngologist treating OSA is familiar with intrapharyngeal procedures, such as uvulopalatopharyngoplasty and tongue base reduction, extrapharyngeal sleep operations such as maxillomandibular advancement (MMA) and upper airway stimulation (UAS) have evolved rapidly in the recent decade and deserve a dedicated review. MMA and UAS have both shown predictable high success rates with low morbidity. Each approach has unique strengths and limitations, and for the most complex of OSA patients, the two in combination complement each other. Extrapharyngeal airway operations are critical for achieving favorable outcomes for sleep surgeons.
引用
收藏
页码:225 / 233
页数:9
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