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폐쇄성 수면 무호흡증의 외과적 접근

Surgical approach for Obstructive Sleep apnea patients

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초록

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.

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.

참고문헌 (72)

  1. Epstein LJ, "Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults", J Clin Selep Med, 5(3), pp.263~276 (2009)
  2. Aurora RN, "Obstructive sleep apnoea and type 2 diabetes mellitus : a bidirectional association", Lancet Respir Med, 1(4), pp.329~338 (2013)
  3. Redline S, "Obstructive sleep apnea-hypopnea and incident stroke : the Sleep Heart Health Study", Am J Respir Crit Care Med, 182(2), pp.269~277 (2010)
  4. Nieto FJ, "Association of sleep-disordered breathing, sleep apnea, and hypertension in a large communitybased study. Sleep Heart Health Study", JAMA, 288(16), pp.1985~ (2002)
  5. Marin JM, "Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure : an observational study", Lancet, 365(9464), pp.1046~1053 (2005)
  6. Haentjens P, "Th e impact of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea syndrome : evidence from a metaanalysis of placebo-controlled randomized trials", Arch Intern Med, 167(8), pp.757~764 (2007)
  7. Kushida CA, "Effects of continuous positive airway pressure on neurocognitive function in obstructive sleep apnea patients : the Apnea Positive Pressure Long-term Efficacy Study(APPLES)", Selep, 35(12), pp.1593~1602 (2012)
  8. Zonato AI, "Upper airway surgery : the effect on nasal continuous positive airway pressure titration on obstructive sleep apnea patients", Eur Arch Otorhinolaryngol, 263(5), pp.481~486 (2006)
  9. Randerath WJ, "European Respiratory Society Task Force on Non-CPAP Therapies in Sleep Apnoea. Non-CPAP therapies in obstructive sleep apnoea", Eur Respir J, 37(5), pp.1000~1028 (2011)
  10. Aurora RN, "American Academy of Sleep Medicine. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults", Sleep, 33(10), pp.1408~1413 (2010)
  11. Caples SM, "Surgical modifications of the upper airway for obstructive sleep apnea in adults : a systematic review and meta-analysis", Sleep, 33(10), pp.1396~1407 (2010)
  12. Sundaram S, "Surgery for obstructive sleep apnoea", Cochrane Database Syst Rev, (4) (2005)
  13. Ryan CM, "Pathogenesis of obstructive sleep apnea", J Appl Physiol(1985), 99(6), pp.2440~2450 (2005)
  14. Papsidero MJ, "Th e role of nasal obstruction in obstructive sleep apnea syndrome", Ear Nose Throat J, 72(1), pp.82~84 (1993)
  15. Atkins M, "Nasal resistance in obstructive sleep apnea", Chest, 105(4), pp.1133~1135 (1994)
  16. Yalamanchali S, "Effects of endoscopic sinus surgery and nasal surgery in patients with obstructive sleep apnea", Otolaryngol Head Neck Surg, 151(1), pp.171~175 (2014)
  17. Meen EK, "Th e role of the nose in sleep-disordered breathing", Am J Rhinol Aellrgy, 27(3), pp.213~220 (2013)
  18. Li HY, "Improvement in quality of life after nasal surgery alone for patients with obstructive sleep apnea and nasal obstruction", Arch Otolaryngol Head Neck Surg, 134(4), pp.429~433 (2008)
  19. Koutsourelakis I, "Randomised trial of nasal surgery for fixed nasal obstruction in obstructive sleep apnoea", Eur Respir J, 31(1), pp.110~117 (2008)
  20. Morris LG, "Acoustic rhinometry predicts tolerance of nasal continuous positive airway pressure : a pilot study", Am J Rhinol, 20(2), pp.133~137 (2006)
  21. Poirier J, "The effect of nasal surgery on nasal continuous positive airway pressure compliance", Laryngoscope, 124(1), pp.317~319 (2014)
  22. Ketcham AS, "Complications and management of septoplasty", Otolaryngol Clin North Am, 43(4), pp.897~904 (2010)
  23. Martinho FL, "Obese obstructive sleep apnea patients with tonsil hypertrophy submitted to tonsillectomy", Braz J Med Biol Res, 39(8), pp.1137~1142 (2006)
  24. Nakata S, "Reduced nasal resistance after simple tonsillectomy in patients with obstructive sleep apnea", Am J Rhinol, 21(2), pp.192~195 (2007)
  25. Orr WC, "Obstructive sleep apnea associated with tonsillar hypertrophy in adults", Arch Intern Med, 141(8), pp.990~992 (1981)
  26. Rubin AH, "Effects of nasal surgery and tonsillectomy on sleep apnea", Bull Eur Physiopathol Respir, 19(6), pp.612~615 (1983)
  27. Moser RJ, "Obstructive sleep apnea in adults with tonsillar hypertrophy", Arch Intern Med, 147(7), pp.1265~1267 (1987)
  28. Aubert-Tulkens G, "Failure of tonsil and nose surgery in adults with long-standing severe sleep apnea syndrome", Arch Intern Med, 149(9), pp.2118~2121 (1989)
  29. Houghton DJ, "Adult obstructive sleep apnoea syndrome and tonsillectomy", J Laryngol Otol, 111(9), pp.829~832 (1997)
  30. Verse T, "Tonsillectomy as a treatment of obstructive sleep apnea in adults with tonsillar hypertrophy", Laryngoscope, 110(9), pp.1556~1559 (2000)
  31. Tan LT, "Effects of tonsillectomy on sleep study parameters in adult patients with obstructive sleep apnea—a prospective study", Sleep Breath, 18(2), pp.265~268 (2014)
  32. Fujita S, "Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome : uvulopalatopharyngoplasty", Otolaryngol Head Neck Surg, 89(6), pp.923~934 (1981)
  33. Li HY, "Relocation pharyngoplasty for obstructive sleep apnea", Laryngoscope, 119(12), pp.2472~2477 (2009)
  34. 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)
  35. Friedman M, "Z-palatoplasty(ZPP) : a technique for patients without tonsils", Otolaryngol Head Neck Surg, 131(1), pp.89~100 (2004)
  36. Woodson BT, "Transpalatal advancement pharyngoplasty for obstructive sleep apnea", Laryngoscope, 103(3), pp.269~276 (1993)
  37. Yousuf A, "Clinical predictors for successful uvulopalatopharyngoplasty in the management of obstructive sleep apnea", Int J Otolaryngol, 2013, pp.290265~ (2013)
  38. Tucker Woodson B, "Structural eff ectiveness of pharyngeal sleep apnea surgery", Sleep Med Rev, 12(6), pp.463~479 (2008)
  39. Li HY, "Prediction of uvulopalatopharyngoplasty outcome : anatomy-based staging system versus severity-based staging system", Sleep, 29(12), pp.1537~1541 (2006)
  40. Walker-Engström ML, "Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1-year follow-up study", J Sleep Res, 9(3), pp.303~308 (2000)
  41. Cahali MB, "Lateral pharyngoplasty versus uvulopalatopharyngoplasty : a clinical, polysomnographic and computed tomography measurement comparison", Sleep, 27(5), pp.942~950 (2004)
  42. Wilhelmsson B, "A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty in the treatment of obstructive sleep apnoea", Acta Otolaryngol, 119(4), pp.503~509 (1999)
  43. Friedman M, "Clinical staging for sleep-disordered breathing", Otolaryngol Head Neck Surg, 127(1), pp.13~21 (2002)
  44. Mortimore IL, "Uvulopalatopharyngoplasty may compromise nasal CPAP therapy in sleep apnea syndrome", Am J Respir Crit Care Med, 154(6 pt 1), pp.1759~1762 (1996)
  45. Franklin KA, "Effects and side-effects of surgery for snoring and obstructive sleep apnea—a systematic review", Sleep, 32(1), pp.27~36 (2009)
  46. Walker-Engström ML, "4-year follow-up of treatment with dental appliance or uvulopalatopharyngoplasty in patients with obstructive sleep apnea : a randomized study", Chest, 121(3), pp.739~746 (2002)
  47. Kezirian EJ, "Incidence of serious complications after uvulopalatopharyngoplasty", Laryngoscope, 114(3), pp.450~453 (2004)
  48. Ferguson KA, "A randomized trial of laserassisted uvulopalatoplasty in the treatment of mild obstructive sleep apnea", Am J Respir Crit Care Med, 167(1), pp.15~19 (2003)
  49. Larrosa F, "Laser-assisted uvulopalatoplasty for snoring: does it meet the expectations?", Eur Respir J, 24(1), pp.66~70 (2004)
  50. Bäck LJ, "Radiofrequency surgery of the soft palate in the treatment of mild obstructive sleep apnea is not effective as a single-stage procedure : a randomized single-blinded placebo-controlled trial", Laryngoscope, 119(8), pp.1621~1627 (2009)
  51. Stuck BA, "Radiofrequencysurgery of the soft palate in the treatment of snoring : a review of the literature", Sleep, 27(3), pp.551~555 (2004)
  52. Ho WK, "Managing disturbing snoring with palatal implants : a pilot study", Arch Otolaryngol Head Neck Surg, 130(6), pp.753~758 (2004)
  53. Steward DL, "Palate implants for obstructive sleep apnea : multi-institution, randomized, placebo-controlled study", Otolaryngol Head Neck Surg, 139(4), pp.506~510 (2008)
  54. Friedman M, "Palatal implants for the treatment of snoring and obstructive sleep apnea", hypopnea syndrome, 2008, pp.138(2), 209~216
  55. Gillespie MB, "Eff ectiveness of Pillar palatal implants for snoring management", Otolaryngol Head Neck Surg, 140(3), pp.363~368 (2009)
  56. Powell NB, "Radiofrequency tongue base reduction in sleep-disordered breathing : a pilot study", Otolaryngol Head Neck Surg, 120(5), pp.656~664 (1999)
  57. Woodson BT, "A multiinstitutional study of radiofrequency volumetric tissue reduction for OSAS", Otolaryngol Head Neck Surg, 125(4), pp.303~311 (2001)
  58. Woodson BT, "A randomized trial of temperature-controlled radiofrequency, continuous positive airway pressure, and placebo for obstructive sleep apnea syndrome", Otolaryngol Head Neck Surg, 128(6), pp.848~861 (2003)
  59. Kezirian EJ, "Hypopharyngeal surgery in obstructive sleep apnea : an evidence-based medicine review", Arch Otolaryngol Head Neck Surg, 132(2), pp.206~213 (2006)
  60. Chen JH, "Complications of tongue base reduction with radiofrequency tissue ablation on obstructive sleep apnea hypopnea syndrome", Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 45(7), pp.574~577 (2010)
  61. Fujita S, "Laser midline glossectomy as a treatment for obstructive sleep apnea", Laryngoscope, 101(8), pp.805~809 (1991)
  62. Andsberg U, "Eight years of follow-up—uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnoea syndrome", Acta Otolaryngol Suppl, 543, pp.175~178 (2000)
  63. Ishman SL, "Temporal trends in sleep apnea surgery : 1993-2010", Laryngoscope, 124(5), pp.1251~1258 (2014)
  64. Chan DK, "Effect of obesity and medical comorbidities on outcomes after adjunct surgery for obstructive sleep apnea in cases of adenotonsillectomy failure", Arch Otolaryngol Head Neck Surg, 138(10), pp.891~896 (2012)
  65. Li HY, "Same-stage palatopharyngeal and hypopharyngeal surgery for severe obstructive sleep apnea", Acta Otolaryngol, 124(7), pp.820~826 (2004)
  66. Randerath W, "Relevance of non-CPAP treatment options in the therapy of obstructive sleep apnea syndrome", Somnool gie, 10(2), pp.67~98 (2006)
  67. Turnbull NR, "The effects of orthognathic surgery on pharyngeal airway dimensions and quality of sleep", J Orthod, 27(3), pp.235~247 (2000)
  68. Li KK, "Patient’s perception of the facial appearance after maxillomandibular advancement for obstructive sleep apnea syndrome", J Oral Maxillofac Surg, 59(4), pp.377~380 (2001)
  69. "Inspire upper airway stimulation-P130008"[URL]
  70. Eastwood PR, "Treating obstructive sleep apnea with hypoglossal nerve stimulation", Sleep, 34(11), pp.1479~1486 (2011)
  71. Kezirian EJ, "Hypoglossal nerve stimulation improves obstructive sleep apnea : 12-month outcomes", J Selep Res, 23(1), pp.77~83 (2014)
  72. Strollo PJ Jr, "Upperairway stimulation for obstructive sleep apnea", N Engl J Med, 370(2), pp.139~149 (2014)

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