Surgical approach for Obstructive Sleep apnea patients

Lee, Ui-Lyong

doi:2021.59.12.759

J Korean Dent Assoc > Volume 59(12); 2021 > Article

The Journal of The Korean Dental Association 2021;59(12):759-768.
DOI: https://doi.org/10.22974/jkda.2021.59.12.007 Published online November 30, 2021.

폐쇄성 수면 무호흡증의 외과적 접근

이의룡

중앙대학교병원 구강악안면외과

Surgical approach for Obstructive Sleep apnea patients

Ui-Lyong Lee

Department of oral and Maxillofacial Surgery Chung-Ang University Hospital

Correspondence: Ui-Lyong Lee, Tel: 82 2 6299 2875, Fax: 82 2 6299 2880,
Email: davidjoy76@gmail.com

Abstract

Obstructive sleep apnea (OSA) is a chronic disease that requires long-term, continuous treatment. Considering the prevalence of sleep apnea and serious health-related sequelae, various medical and surgical treatments have been developed to achieve various therapeutic goals according to individual anatomy and patient compliance. Although CPAP treatment should be the preferred treatment, many patients cannot continue this treatment and alternative treatment is needed. Surgical treatment should be aimed at resolving the obstruction of the nose, palatal, retrolingual, and hypopharynx, or should be performed in the direction of increasing adherence to positive pressure therapy. In this review, the author will introduce various surgical approaches currently used when non-surgical treatment for sleep apnea did not yield positive results, and present research on the treatment results.

Key Words: Sleep disordered breathing; Obstructive sleep apnea; Sleep surgery; Rhinoplasty; Tonsillectomy; UPPP, MMA