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…
1 Introduction The importance of lingual tonsil hypertrophy has long been recognized as a significant factor in obstructive sleep apnea (OSA), but only recently with the advent of transoral robotic surgery (TORS) do sleep surgeons have a tool that can…
This chapter reviews the role of the epiglottis in obstructive sleep apnea (OSA) and surgical management of its obstructive capacity. Although it has been well recognized for years that multiple levels of obstruction are responsible for OSA, most authors focus…