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Palatopharyngeal Muscle Suspension Suture Technique for Obstructive Sleep Apnea

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초록

Various treatment modalities for obstructive sleep apnea (OSA) patients were introduced includingcontinuous positive airway pressure (CPAP), lifestyle modification, and surgery. Numerousfactors such as compliance, treatment failure, and preference should be consideredwhen deciding the treatment. In general, patients for whom CPAP or other conservative treatmentmodalities failed become candidates for surgical treatments. Uvulopalatopharyngoplastyis one of the most generally performed surgeries, of which success rate is relatively low. Recently,numerous techniques that can correct lateral pharyngeal obstruction for OSA patientswere introduced. However, some of them are technically difficult and aggressive. In this article,we introduce a novel surgical method for OSA called palatopharyngeal muscle suspensionsuture technique.

Abstract

Various treatment modalities for obstructive sleep apnea (OSA) patients were introduced includingcontinuous positive airway pressure (CPAP), lifestyle modification, and surgery. Numerousfactors such as compliance, treatment failure, and preference should be consideredwhen deciding the treatment. In general, patients for whom CPAP or other conservative treatmentmodalities failed become candidates for surgical treatments. Uvulopalatopharyngoplastyis one of the most generally performed surgeries, of which success rate is relatively low. Recently,numerous techniques that can correct lateral pharyngeal obstruction for OSA patientswere introduced. However, some of them are technically difficult and aggressive. In this article,we introduce a novel surgical method for OSA called palatopharyngeal muscle suspensionsuture technique.

참고문헌 (13)

  1. Chung S, "Endothelial dysfunction and inflammatory reactions of elderly and middle-aged men with obstructive sleep apnea syndrome", Sleep Breath, 13(1), pp.11~17 (2009)
  2. Peppard PE, "Increased prevalence of sleep-disordered breathing in adults", Am J Epidemiol, 177(9), pp.1006~1014 (2013)
  3. Franklin KA, "Obstructive sleep apnea is a common disorder in the population-a review on the epidemiology of sleep apnea", J Thorac Dis, 7(8), pp.1311~1322 (2015)
  4. Weaver TE, "Adherence to continuous positive airway pressure therapy : The challenge to effective treatment", Proc Am Thorac Soc, 5(2), pp.173~178 (2008)
  5. Tanna N, "Surgical management of obstructive sleep apnea", Plast Reconstr Surg, 137(4), pp.1263~1272 (2016)
  6. Carvalho B, "Surgical therapy of obstructive sleep apnea : A review", Neurotherapeutics, 9(4), pp.710~716 (2012)
  7. Hong SN, "Indications for and outcomes of expansion sphincter pharyngoplasty to treat lateral pharyngeal collapse in patients with obstructive sleep apnea", JAMA Otolaryngol Head Neck Surg, 145(5), pp.405~412 (2019)
  8. Cahali MB, "Lateral pharyngoplasty : A new treatment for obstructive sleep apnea hypopnea syndrome", Laryngoscope, 113(11), pp.1961~1968 (2003)
  9. Pang KP, "Expansion sphincter pharyngoplasty : A new technique for the treatment of obstructive sleep apnea", Otolaryngol Head Neck Surg, 137(1), pp.110~114 (2007)
  10. Oh MS, "Current techniques and role of drug-induced sleep endoscopy for obstructive sleep apnea", Curr Sleep Medicine Rep, 3, pp.152~163 (2017)
  11. El-Ahl MA, "Expansion pharyngoplasty by new simple suspension sutures without tonsillectomy", Otolaryngol Head Neck Surg, 155(6), pp.1065~1068 (2016)
  12. Lu YT, "Pterygomandibular suspension suture : A simple modification of uvulopalatopharyngoplasty for severe obstructive sleep apnea", Eur Arch Otorhinolaryngol, 275(1), pp.269~273 (2018)
  13. Askar SM, "Double suspension sutures : A simple surgical technique for selected cases of obstructive sleep apnoea : Our experience with twenty-two patients", Clin Otolaryngol, 43(2), pp.753~757 (2018)

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