1 Introduction Sleep-disordered breathing (SDB) encompasses a spectrum of conditions, including socially unacceptable snoring (SUS) and obstructive sleep apnea syndrome (OSAS). Whereas SUS is mostly debilitating in social circumstances, OSAS and its complications pose a major health problem for society.…
1 Introduction Velopharyngeal insufficiency (VPI) is a significant speech disorder hypernasal resonance. This can result in difficulty with speech intelligibility and swallowing, which can have a major impact on a patient's quality of life. Although most VPI occurs in the…
1 Introduction Nasopharyngeal stenosis (NPS) after uvulopalatopharyngoplasty (UPPP) is a serious problem. More palatal procedures are being performed, leading to an increased incidence of NPS, but little has been written about this severe complication and its management. Historically, adult NPS…
1 Introduction The incidence of obstructive sleep apnea (OSA) has increased dramatically in the past two decades due to the increased incidence of obesity. Many continue to quote a 4% incidence of OSA in the adult population based on a…
1 Introduction Obstructive sleep apnea (OSA) is caused by obstacles to the free flow of air through the upper airway from the lips or nasal tip to the larynx and therefore is within the otolaryngologist's sphere of responsibility. Management can…
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1 Introduction Maxillary morphology plays an important role in the pathophysiology of obstructive sleep apnea (OSA). Guilleminault et al. reported the presence of high and narrow hard palate differentiating OSA between relatives. Maxillary morphology studies have shown greater palatal heights in…
1 Introduction Orthognathic surgery has been used to treat obstructive sleep apnea (OSA) since the mid-1980s. In the classical phase II surgery for OSA described by Riley et al., 10-mm advancement of the maxilla and mandible resulted in an impressive 97%…
1 Indications From our first case report describing isolated mandibular advancement for the treatment of obstructive sleep apnea (OSA) in 1984, maxillofacial surgical interventions have played significant roles in sleep surgery. Single jaw advancement evolved to maxillary and mandibular advancement…
1 Introduction Severe obstructive sleep apnea syndrome (OSAS) is preferably treated by nasal continuous positive airway pressure (NCPAP). Unfortunately, 30% to 50% of patients refuse or cannot accept NCPAP for a variety of reasons. Approximately 25% of patients refuse it…