Surgical Management of Obsructive Slepp Apnea Syndrom: latest tendency

Song,  Seung Il; Lee,  Ho Kyung

J Korean Dent Assoc > Volume 52(10); 2014 > Article

The Journal of The Korean Dental Association 2014;52(10):602-614.
Published online October 31, 2014.

임상가를 위한 특집 2 - 폐쇄성 수면 무호흡증의 외과적 치료: 최신 경향

송승일¹, 이호경²

^¹아주대학교병원 치과 구강악안면외과
^²아주대학교병원 치과 구강악안면외과

Surgical Management of Obsructive Slepp Apnea Syndrom: latest tendency

Seung Il Song¹, Ho Kyung Lee²

¹Oral and Maxillofacial surgery, Department of Dentistry, Ajou University Hospital
²Oral and Maxillofacial surgery, Department of Dentistry, Ajou University Hospital

Abstract

Obstructive sleep apnea syndrom(OSAS) is defined by total or partial collapse of the upper airway during sleep. In the presence of specific anatomic features, OSAS is potentially amenable to surgical treatment. Initially, the only treatment available for these patients was a tracheotomy that bypassed the obstruction and resulted in a 100% cure. However, this was not readily accepted by most patients, and surgical methods other than tracheotomy were developed to successfully maintain adequate upper airway patency during sleep by comparing to postoperative polysomnography(AHI,RDI etc). In this paper, I would like to provide an overview of some of the multilevel surgical techniques available for treating OSAS as well as the necessary preoperative considerations.

Key Words: Obstructive sleep apnea syndrom;Surgical treatment;Level;Pharynx;