Surgical treatment of epiglottis collapse in obstructive sleep apnoea syndrome: epiglottis stiffening operation

被引:19
作者
Salamanca, F. [1 ]
Leone, F. [1 ]
Bianchi, A. [1 ]
Bellotto, R. G. S. [1 ]
Costantini, F. [1 ]
Salvatori, P. [1 ]
机构
[1] Humanitas San Pio X, Unit Otorhinolaryngol Head & Neck Surg, Via Francesco Nava 31, I-20159 Milan, Italy
关键词
Epiglottis collapse; Epiglottis surgery; Surgery; Obstructive sleep apnoea; Snoring; ENDOSCOPY; AIRWAY; EFFICACY; AWAKE;
D O I
10.14639/0392-100X-N0287
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The epiglottis is an important structure that was largely ignored in early research on obstructive sleep apnoea/hypopnoca syndrome (OSAHS). Primary epiglottis collapse (EC) in patients with OSAHS is difficult to treat with conservative therapies, such as oral appliances and CPAP. Therefore, surgical treatment may represent a good option when dealing with EC, although up to now no standardised surgical procedures have been described. Herein, we describe a new surgical procedure that we called "epiglottis stiffening operation" (ESO); the technique is safe, devoid of complications, easy to perform and is effective in treatment of primary EC, which presents as a single or coexistent site of upper airway obstruction without altering fundamental functions of the epiglottis.
引用
收藏
页码:404 / 408
页数:5
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