Sleep Apnea and Snoring Surgical and Non Surgical Therapy 2nd Edition by Elsevier Enhanced Digital Version – Ebook PDF Instant Download/Delivery: 0323461379,
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ISBN 10: 0323461379
ISBN 13: 9780323461375
Author: Elsevier Enhanced Digital Version
Recent years have brought many significant changes to the field of sleep apnea and snoring, and this revised 2nd Edition keeps you up to date with every effective intervention. Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy, 2nd Edition, takes a focused, multidisciplinary approach to all sleep apnea and snoring related illnesses, making it an outstanding reference for surgery in this key area within otolaryngology. New chapters, new video clips, new techniques and procedures, and new contributing authors ensure that you’re completely up to date.
- Covers recent topics such as transoral robotic assisted surgery, new techniques in nasal valve repair, and pediatric patients and sleep apnea.
- New video clips show a variety of procedures including maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea, maxillary distraction osteogenesis with palatal implants for obstructive sleep apnea, drug induced sleep endoscopy for pediatric patients, and more.
- New chapters cover home sleep testing, lingual tonsil grading system, algorithms for surgery and for multi-level treatment, new techniques in nasal valve repair, and transoral robotic assisted surgery (TORS for OSA).
- New authors and associate editors provide a fresh perspective throughout the text.
- Includes contributions from leaders in neurology, pulmonology, psychiatry, otolaryngology, and oral and maxillofacial surgery to create a truly multi-disciplinary approach.
- Uses a consistent, templated, full-color format for quick, easy access to the most up-to-date surgical and non-surgical interventions for sleep apnea and snoring.
- Details when and why surgery is necessary, and how to perform a successful operation for snoring and sleep apnea.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Sleep Apnea and Snoring Surgical and Non Surgical Therapy 2nd Table of contents:
Chapter 1 The Role of the Otolaryngologist in the Treatment of Snoring and Obstructive Sleep Apnea
References
Section B Diagnosis
Chapter 2 Signs and Symptoms of Obstructive Sleep Apnea and Upper Airway Resistance Syndrome
1 Obstructive Sleep Apnea
2 Clinical Presentation of OSA
3 Upper Airway Resistance Syndrome
4 Clinical Presentation of UARS
5 Sleep-Disordered Breathing in Women
Summary
References
Chapter 3 Airway Evaluation in Obstructive Sleep Apnea
1 Methods of Airway Evaluation
2 Clinical Examination and Clinical Scores
3 The Mueller Maneuver
4 X-Ray Cephalometry
5 CT Scanning
6 Magnetic Resonance Imaging
7 Videoendoscopy During Spontaneous Sleep
8 Videoendoscopy Under Sedation
9 Multichannel Pressure Measurements
10 Critical Closing Pressure
11 Summary
Acknowledgments
References
Chapter 4 Clinical Polysomnography
1 Introduction
2 Data Acquisition for Polysomnography
3 Sleep Staging
4 Categories
5 Evaluation
6 Summary
References
Chapter 5 Home Sleep Testing
1 Introduction
2 Types of HSAT Devices
3 Diagnostic Accuracy
4 Choosing the Right Patient
5 Pitfalls
6 Summary
References
Chapter 6 Drug-Induced Sleep Endoscopy (DISE)
1 Introduction
2 Indications
3 Contraindications
4 Technique
5 Anesthesia
6 Additional Maneuvers
7 Scoring System
8 Validity
9 Insights From the Literature
10 Summary
References
Section C Nonsurgical Treatment of OSA/HS
Chapter 7 Obstructive Sleep Apnea
1 Introduction
2 Perspectives on Disease Outcomes
3 Threshold to Treat Obstructive Sleep Apnea
4 Evaluation for OSA
5 Treatment Options
6 Planning for Treatment of OSA
7 Summary
References
Chapter 8 CPAP, APAP, and BiPAP
1 Introduction
2 Types of PAP Machines
3 Interfaces
4 Initiating PAP Therapy
5 PAP Follow-Up
6 Troubleshooting
7 Summary
References
Chapter 9 Analysis of CPAP Failures
1 Introduction
2 CPAP Failure
3 Compliance
4 Results
5 Summary
References
Chapter 10 Oral Appliances for OSA
1 Introduction
2 Indications
3 Effectiveness
4 Role of Otolaryngologist
5 Patient Selection
6 Choice of Oral Appliance
7 Impressions, Bite Registration, and Fitting
8 Clinical Follow-Up
9 Side Effects
10 Summary
References
Section D Surgical Treatment of OSA/HS
Chapter 11 Rationale and Indications for Surgical Treatment
1 Background and Rationale for Surgical Therapy
2 Clinical Context of Surgical Therapy
3 Paradigm Shift in OSA Surgery
4 Future Directions
5 Summary
References
Chapter 12 The Impact of Surgical Treatment of OSA on Cardiac Risk Factors
References
Section E Anesthesia for OSA/HS
Chapter 13 Perioperative Monitoring in Obstructive Sleep Apnea/Hypopnea Syndrome
1 Introduction
2 Preoperative Management
3 Intraoperative Management
4 Postoperative Management
5 Summary
References
Chapter 14 Perioperative and Anesthesia Management
1 Introduction
2 Preoperative Assessment of the Patient
3 Intraoperative Care
4 Postoperative Care
References
Section F Treatment Selection
Chapter 15 Friedman Tongue Position and the Staging of Obstructive Sleep Apnea/Hypopnea Syndrome
1 Introduction
2 The OSAHS Score
3 Surgical Staging of OSAHS
4 Summary
References
Chapter 16 Algorithm for Surgery
1 Goals and Considerations
2 Clinical Evaluation for Surgery
3 Drug-Induced Sleep Endoscopy
4 The Extent of Surgery
5 Palatopharyngoplasty First (Fig. 16.2)
6 Persistent OSA (Fig. 16.3)
7 Summary
References
Chapter 17 Algorithm for Multilevel Treatment
1 Introduction
2 Rationale for Surgical Treatment
3 Surgical Indications
4 Patient Selection
5 The Original Powell–Riley Protocol (Phase 1 and Phase 2) and Outcome
6 Rationale for Procedures
7 Beyond the Phased Surgical Protocol
References
Chapter 18 Lingual Tonsil HypertrophyGrading System
1 Introduction
2 Lingual Tonsil Hypertrophy Grading System
3 Significance of LTH Grading
4 Summary
References
Chapter 19 The Effect of Oral Positioning on Hypopharyngeal Airway Dimensions
1 Introduction
2 Airway Examination
3 Implications
4 Summary
References
Chapter 20 Algorithm for Multilevel Treatment
1 Concept of Multilevel Treatment: Establishing the Basis
2 History of Multilevel Treatment
3 Multilevel Minimally Invasive Treatment for Mild/Moderate OSAHS
4 Systematic Review of the Literature on Multilevel Treatment for OSAHS Patients
5 Suggested Techniques for Multilevel Treatment
6 Risk Management and Complications of Multilevel Treatment
7 Summary
References
Section G Nasal Surgery for the Treatment of OSA/HS
Chapter 21 Nasal Obstruction and Sleep-Disordered Breathing
1 Nasal Obstruction and Sleep-Disordered Breathing
2 Functional Valvular Anatomy
3 Mechanisms Associating Nasal Obstruction With Sleep-Disordered Breathing
4 Effects of Treatment
4 Summary
References
Chapter 22 Minimally Invasive Nasal Valve Repair
1 Introduction
2 Patient Selection
3 Surgical Technique (Outline of Procedure)
4 Postoperative Management and Complications
5 Success Rate of the Procedure
6 Summary
References
Chapter 23 Plastic Surgery Techniques for Correction of Nasal Obstruction
1 Introduction
2 History and Examination
3 Techniques and Surgical Approaches
4 Complications
5 Postoperative Care
6 Treatment Options for Failure
7 Summary
References
Chapter 24 New Techniques in Nasal Valve Repair
1 Introduction
2 Nonsurgical Management of Nasal Valve Collapse
3 Surgical Management
4 Summary
References
Chapter 25 Inferior Turbinate Reduction
1 Introduction
2 Indications, Contraindications, and Alternative Treatment Options
3 Anesthesia
4 Turbinate Reduction Techniques
5 Postoperative Care, Complications, and Treatment Options for Failure
Summary
References
Section H Minimally Invasive Palatal Procedures
Chapter 26 Role of Laser Surgery in Treatment of OSA
1 Introduction
2 Patient Selection
3 Procedure
4 Postoperative Management
5 Complications
6 Results
7 Summary
References
Chapter 27 Cautery-Assisted Palatal Stiffening Operation and Anterior Palatoplasty
1 Introduction
2 Patient Selection
3 Surgical Technique
4 Postoperative Management and Complications
5 Success Rate of Procedure
6 Summary
References
Chapter 28 Injection Snoreplasty*
1 Introduction
2 Patient Selection
3 Description of the Procedure
4 Postoperative Management and Complications
5 Success/Failure Rates
6 Summary
References
Further Reading
Chapter 29 Sling Snoreplasty
1 Introduction
2 Patient Evaluation
3 Sling Snoreplasty With Permanent Thread: The Hur Technique
4 Velouvulopharyngeal Lift: The Mantovani “Roman-Blinds” Technique
5 TranQuill Sling Snoreplasty
6 Summary
References
Chapter 30 Elevoplasty
1 Introduction
2 Patient Selection
3 Outline of Elevoplasty Procedure
4 Postoperative Management and Complications
5 Success Rate of the Procedure
6 Summary
References
Chapter 31 Palatal Implants for Primary Snoring
1 Introduction
2 Patient Selection
3 Outline of the Procedure
4 Postoperative Management and Complications
5 Success Rate of the Procedure
6 Summary
References
Section I Palatal surgery
Chapter 32 Classic Uvulopalatopharyngoplasty
1 Introduction
2 Patient Selection
Technique
Postoperative Management
Complications
UPPP Efficacy
References
Chapter 33 Uvulopalatopharyngoplasty
1 Introduction
2 Patient Selection
3 Technique
4 Postoperative Care
5 Complications
6 Treatment Options for Failure
Further Reading
Chapter 34 Uvulopalatopharyngoplasty
1 Introduction
2 Surgical Procedure and Technique
3 Postoperative Management
4 Results
Acknowledgment
References
Chapter 35 Zetapalatopharyngoplasty (ZPP)
1 Introduction
2 Patient Selection
3 Surgical Technique
4 Postoperative Management and Complications
5 Success Rate of the Procedure
6 Conclusion
References
Chapter 36 The Uvulopalatal Flap
1 Introduction
2 UPF Overview and Justifications of the Procedure
3 Indications
4 Contraindications
5 Alternative Treatment Options
6 Anesthesia
7 Technique: Awake, Office-Based Procedure
8 Technique: General Anesthesia With Concurrent Tonsillectomy or Lateral Pharyngeal Wall Surgery
9 Postoperative Care
10 Complications
11 Treatment Options for Failure
References
Chapter 37 Modified Uvulopalatopharyngoplasty With Uvula Preservation
1 Introduction
2 Patient Selection
3 Clinical Evaluation and Preoperative Management
4 Techniques
5 Postoperative Management
6 Clinical Outcomes and Complications
Further Readings
Chapter 38 Transpalatal Advancement Pharyngoplasty
1 Indications
2 Surgical Technique
3 Distal Palatopharyngoplasty
4 Postoperative Care
5 Results and Complications
6 Conclusions
References
Chapter 39 Expansion Sphincter Pharyngoplasty
1 Introduction
2 Patient Selection
3 Surgical Technique
4 Postoperative Management and Complications
5 Success Rate of Procedure
References
Chapter 40 Lateral Pharyngoplasty
1 Introduction
2 Indications
3 Contraindications
4 Alternative Treatment Options
5 Anesthesia
6 Surgical Technique
7 Postoperative Care
8 Complications
9 Treatment Options for Failure
References
Chapter 41 Barbed Snore Surgery (BSS)
1 Introduction
2 Intratissutal Threads
3 Barbed Sutures
4 Barbed Snore Surgery (BSS)
5 Barbed Roman Blinds Technique (BRBT)
6 Barbed Lateral Pharyngoplasty (BLPh)
7 Barbed Anterior Pharyngoplasty (BAPh)
8 Alianza (BRBT + BAPh)
Acknowledgements
References
Section J Minimally Invasive Hypopharyngeal Procedures
Chapter 42 Fundamentals of Minimally Invasive Radiofrequency Applications in Ear, Nose, and Throat Medicine
1 System Overview
2 Basics of Radiofrequency Surgery
References
Chapter 43 Radiofrequency Tissue Effects
1 Indications for Treatment
2 Patient Selection
3 Sleep-Disordered Breathing Treatment Protocol
4 Radiofrequency Tissue Volume Reduction Tongue Base Technique
5 Pretreatment Workup
6 Infection Prevention
7 Anesthesia
8 Tongue Base Radiofrequency Tissue Volume Reduction Results
9 Posttreatment Care
10 Possible Complications
11 Conclusions
Acknowledgments
References
Chapter 44 Endoscopic Coblator Open Tongue Base Resection for Obstructive Sleep Apnea
1 Indications
2 Contraindications
3 Alternative Treatment Options
4 Anesthesia
5 Surgical Procedures
6 Postoperative Care
7 Complications
8 Treatment Options for Failure
9 Video
References
Chapter 45 Tongue Base Stabilization for Obstructive Sleep Apnea and Snoring
1 Introduction
2 Indications and Rationale
3 Patient Selection
4 Contraindications
5 Tongue Suture Suspension Technique
References
Chapter 46 Endoscopic Coblation Lingual Tonsillectomy
1 Introduction
2 Patient Selection
3 Outline of Procedure
4 Postoperative Management and Complications
References
Chapter 47 Electrical Stimulation of the Upper Airway
1 Introduction
2 Animal Studies
3 Initial Human Studies
4 Effect of HGN Stimulation on Upper Airway Function
5 Apnex Medical Hypoglossal Nerve Stimulation System
6 Functional Electrical Stimulation of the Hypoglossal Nerve: Conclusions
References
Chapter 48 Upper Airway Stimulation
1 Introduction
2 Scientific Rationale
3 Clinical Trials
4 Patient Selection
5 Surgical Technique
6 Postoperative Management
7 Complications
8 Treatment Options for Incomplete Response
References
Chapter 49 Hypoglossal Nerve Stimulation
1 Introduction
2 Clinical Trials
3 Patient Selection/Indications
4 Surgical Technique
5 Postoperative Management
6 Complications
7 Treatment Options for Incomplete Response
8 Future Directions
References
Section K Hypopharyngeal Surgery
Chapter 50 Multilevel Pharyngeal Surgery for Obstructive Sleep Apnea
1 Introduction
2 Surgical Planning (Pang–Woodson Surgical Protocol)
3 Patient Selection
4 Outline of Procedures
5 Postoperative Management and Complications
6 Success Rates of the Procedures
7 Genioglossus Advancement and Hyoid Myotomy
8 Tongue Suspension
10 Summary
References
Chapter 51 External Submucosal Glossectomy
1 Introduction
2 Patient Selection
3 Outline of Procedure
4 Postoperative Management
5 Complications
6 Outcomes
7 Salvage Options
8 Summary
References
Chapter 52 Genioglossus Advancement in Sleep Apnea Surgery*
1 Introduction
2 Indications/Contraindications
3 Procedure Details
4 Postoperative Care
5 Complications
6 Outcomes
References
Chapter 53 Hyoid Suspension as the Only Procedure
1 Introduction
2 Patient Selection
3 Surgical Technique
4 Postoperative Evaluation
5 Results
6 Complications
7 Discussion
Further Reading
Chapter 54 Management of the Epiglottis
1 Indications
2 Contraindications
3 Alternative Treatment Options
4 Technique 1: Epiglottopexy With or Without Lingual Tonsillectomy
5 Technique 2: Laser Partial Epiglottectomy
6 Treatment Options for Failure
References
Chapter 55 Transoral Robotic Surgery (TORS) for OSA
1 Introduction
2 Indication and Contraindication
3 Alternative Treatment Options
4 Anesthesia
5 Technique
6 Postoperative Care
7 Complications
8 Treatment Options for Failures
References
Chapter 56 Multilevel Surgery With or Without Genioglossal Advancement
1 Introduction
2 Patient Selection
3 Anesthesia and Positioning
4 Surgical Techniques
5 Postoperative Care
6 Complications
7 Treatment Options for Failure
8 Outcome
References
Further Reading
Section L Maxillofacial Surgical Techniques
Chapter 57 Maxillofacial Surgical Techniques for Hypopharyngeal Obstruction in Obstructive Sleep Apnea
1 Indications
2 Contraindications
3 Alternative Treatment Options
4 Anesthesia
5 Operative Techniques
6 Postoperative Care
7 Complications
8 Success Rate
9 Treatment Options for Failure
References
Chapter 58 Modified Maxillomandibular Advancement Technique
1 Introduction
2 Indications
3 Preoperative Considerations
4 Maxillary Surgery
5 Mandibular Surgery
6 Surgical Procedure
7 Postoperative Management and Complications
8 Success Rate
References
Chapter 59 Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients
1 Introduction
2 Indications
3 Contraindications
4 Alternative Treatment Options
5 Anesthesia
6 Techniques
7 Postoperative Care
8 Complications
9 Treatment Options for Failure
References
Section M Tracheostomy for OSA/HS
Chapter 60 Tracheostomy for Sleep Apnea
References
Chapter 61 Speech-Ready, Long-Term Tube-Free Tracheostomy for Obstructive Sleep Apnea
1 Introduction
2 Patient Selection
3 Tracheotomy and Tube-Dependent Tracheostomy
4 Review of the Literature on the Efficacy of Tracheotomy and Tracheostomy in OSA
5 Complications of Tube-Dependent Techniques (Tracheotomy or Tube-Dependent Tracheostomy)
6 Tube-Free Tracheostomy
7 Tracheostomy Closure
8 Pediatric Tracheostomy and OSA
9 Summary
References
Further Reading
Section N Postoperative Management and Complications
Chapter 62 The Perioperative Management of Patients With Obstructive Sleep Apnea
1 Introduction
2 Evaluation of the Patient with OSA
3 Considerations for Outpatient Procedures in OSA
4 Perioperative Management of Children with OSA
5 UPPP with or without Tonsillectomy: Inpatient or Outpatient
6 Summary
References
Chapter 63 Multimodality Management of Nasopharyngeal Stenosis After Uvulopalatopharyngoplasty
1 Introduction
2 Surgical Technique
3 Discussion With Results and Alternative Treatment Options
References and Further Reading
Chapter 64 Current Techniques for the Treatment of Velopharyngeal Insufficiency
1 Introduction
2 Patient Selection
3 Common Considerations for These Procedures
4 Furlow Double Opposing Z-Plasty
5 Pharyngeal Flap
6 Sphincter Pharyngoplasty
7 Posterior Wall Augmentation
8 Postoperative Management and Complications
9 Success and Potential Failure of the Procedure
10 Summary
References
Further Reading
Chapter 65 Uvulopalatopharyngoplasty
1 Introduction
2 Patient Selection
3 Outline of Procedure
4 Postoperative Complications
5 Subjective and Objective Treatment Outcomes
6 Discussion: Analysis of UPPP Failure
7 Summary
References
Chapter 66 Salvage of Failed Palate Procedures for Sleep-Disordered Breathing
1 Introduction
2 Patient Selection
3 Procedure
4 Complications
5 Salvaging UPPP With LAUP
6 Postoperative Management and Complications
7 Salvaging UPPP With Revision UPPP
8 Salvaging RFAP With LAUP
9 Salvaging UPPP With Palatal Advancement
10 Postoperative Management
11 Success Rate
12 Injection Snoreplasty (Sclerotherapy)
References
Chapter 67 Revision Uvulopalatopharyngoplasty (UPPP) by Z-palatoplasty (ZPP)
1 Introduction
2 Patient Selection
3 Surgical Technique (Outline of Procedure)
4 Postoperative Management and Complications
5 Success Rate of the Procedure
6 Summary
References
Section O Pediatric OSA/HS
Chapter 68 Management of Sleep-Related Breathing Disorders in Children
1 Introduction
2 Epidemiology and Risk Factors
3 Pathophysiology
4 Presentation of Pediatric SRBD
5 Diagnosis
6 Management of Pediatric SRBD
7 Summary
References
Chapter 69 Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea
1 Introduction
2 Identification of Sites of Obstruction
3 Medical Therapies
4 Surgical Therapies
References
Chapter 70 Current Techniques of Adenoidectomy
1 Introduction
2 Patient Selection
3 Outline of Procedures
4 Success Rate of the Procedure and What to Do If It Fails
Further Reading
Chapter 71 Intracapsular Microdebrider-Assisted and Coblation Tonsillectomy
1 Introduction
2 Patient Selection
3 Outline of Procedure
4 Postoperative Management and Complications
5 Success Rate of the Procedure and What to Do If It Fails
References
Further Reading
Chapter 72 Laryngomalacia
1 Introduction
2 Patient Selection
3 Surgical Procedure
4 Complications
5 Postoperative Care
6 Success Rate
References
Chapter 73 Drug-Induced Sleep Endoscopy in Children
1 Introduction
2 Patient Selection
3 Anesthesia
4 DISE Technique
5 Classification of Findings
6 Summary
Acknowledgments
References
Chapter 74 Prevention and Correction of Pediatric SDB/OSA and Post-T&A Relapse
1 Introduction
2 Evolutionary Considerations
3 Summary and Conclusions
4 Enuresis
5 Periodic Limb Movement Disorder
6 Autonomics and Heart Rate Variability
7 MRD
References
Section P Future of OSA Treatment
Chapter 75 Innovations in Surgical Treatment of OSA
1 Problem Size
2 Targeted Treatment Selection
3 Nonsurgical Treatment
4 Surgical Treatment
5 Summary
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