The Role of Soft-Tissue Surgery of the Tongue in Obstructive Sleep Apnea

被引：0
作者：
Beyers J. [1 ]
Vanderveken O.M. [1 ,2 ]
Van de Heyning P.H. [1 ,2 ]
Hamans E. [1 ,2 ]
机构：
[1] Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp (UZA), Wilrijkstraat 10, Edegem, Antwerp
[2] Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp
来源：
Current Otorhinolaryngology Reports | 2016年 / 4卷 / 1期
关键词：
Obstructive sleep apnea; OSA; Soft-tissue surgery; Tongue advancement; Tongue reduction; Tongue suspension;
D O I：
10.1007/s40136-016-0109-1
中图分类号：
学科分类号：
摘要：
Obstructive sleep apnea is a common disease with high morbidity. Narrowing and collapse of the pharyngeal airway during sleep characterize the disease resulting in a decrease or a complete cessation of oronasal airflow. Continuous positive airway pressure is the gold standard and is proven to be very effective. However, due to its rather low adherence and acceptance, alternative treatment options for OSA are necessary. When obstruction of the upper airway (UA) is caused at the level of the tongue base, surgery of the soft tissue of the tongue may be an effective treatment option in OSA. In this review, the aim is to determine and compare the effect of glossectomy, transoral robotic surgery, radiofrequency, tongue suspension, and adjustable tongue advancement techniques in terms of efficacy based on changes in outcome parameters and in terms of complications. UA surgery significantly improves sleep outcomes as part of multi-level surgery in adult patients. Further research on the efficacy of standalone procedure of soft-tissue surgery techniques of the tongue is necessary, in order to gain more evidence of their effectiveness. © 2016, Springer Science+Business Media New York.
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页码：13 / 25
页数：12
相关论文
共 65 条
[1]  
Dempsey J.A., Veasey S.C., Morgan B.J., O'Donnell C.P., Pathophysiology of sleep apnea, Physiol Rev, 90, 1, pp. 47-112, (2010)
[2]  
Young T., Peppard P.E., Gottlieb D.J., Epidemiology of obstructive sleep apnea: a population health perspective, Am J Respir Crit Care Med, 165, 9, pp. 1217-1239, (2002)
[3]  
Gay P., Weaver T., Loube D., Iber C., Et al., Evaluation of positive airway pressure treatment for sleep related breathing disorders in adults, Sleep, 29, 3, pp. 381-401, (2006)
[4]  
Ravesloot M.J., de Vries N., Reliable calculation of the efficacy of non-surgical and surgical treatment of obstructive sleep apnea revisited, Sleep, 34, 1, pp. 105-110, (2011)
[5]  
Strollo P.J., Soose R.J., Maurer J.T., de Vries N., Cornelius J., Froymovich O., Et al., Upper-airway stimulation for obstructive sleep apnea, N Engl J Med, 370, 2, pp. 139-149, (2014)
[6]  
Sutherland K., Vanderveken O.M., Tsuda H., Marklund M., Gagnadoux F., Kushida C.A., Et al., Oral appliance treatment for obstructive sleep apnea: an update, JCSM, 10, 2, pp. 215-227, (2014)
[7]  
Vroegop A.V., Vanderveken O.M., Boudewyns A.N., Scholman J., Saldien V., Wouters K., Et al., Drug-induced sleep endoscopy in sleep-disordered breathing: Report on 1,249 cases, Laryngoscope, 124, 3, pp. 797-802, (2014)
[8]  
Fibbi A., Ameli F., Brocchetti F., Mignosi S., Cabano M.E., Semino L., Tongue base suspension and radiofrequency volume reduction: a comparison between 2 techniques for the treatment of sleep-disordered breathing, Am J Otolaryngol, 30, 6, pp. 401-406, (2009)
[9]  
Fernandez-Julian E., Munoz N., Achiques M.T., Garcia-Perez M.A., Orts M., Marco J., Randomized study comparing two tongue base surgeries for moderate to severe obstructive sleep apnea syndrome, Otolaryngol Head Neck Surg, 140, 6, pp. 917-923, (2009)
[10]  
Fujita S., Woodson B.T., Clark J.L., Wittig R., Laser midline glossectomy as a treatment for obstructive sleep apnea, Laryngoscope, 101, 8, pp. 805-809, (1991)
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