Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date.
The chapters are grouped in different anatomical fields of interest. It gives general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care.
Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.
The enclosed DVD version of the book contains video files of elected procedures explained in the book. The reader has first the possibility to read the chapter text and then to reinforce his learning experience by reviewing the actual video of the procedure. The result is a complete illustrated information of the surgical procedure.
The second edition of Surgery for Sleep Disordered Breathing will help training surgeons with special interest in modern sleep medicine.
From the Back Cover
The treatment of sleep disordered breathing has been enriched by the development of various new and largely surgical techniques. The question of which treatment best suits each individual patient has become a highly sophisticated decision. Among others, the most important factors for selecting the most appropriate treatment modality are the cruelty of the disease, the pathology found within the upper airway, and the sites of obstruction. Therefore, the second edition of this book focuses on both the surgical treatment modalities and the current concepts for treatment decisions.
For each procedure, current data (including data for the entirety of 2007) were reanalyzed according to the principles of evidence-based medicine, and are presented in well-arranged tables. Indications, techniques, complications, and specific follow-up treatments in the realm of sleep medicine have been compiled in the form of a primer.
New chapters concerning radiofrequency-uvulopalatoplasty and combined soft palate procedures were added, as well as a DVD presenting the surgical techniques preferred by the authors.
Both authors run prominent otolaryngological sleep laboratories, and perform approximately 1,500 surgical sleep medicine procedures per year. The complete surgical and sleep medicine expertise of the authors, as well as the experience of numerous international courses on sleep surgery, have been incorporated into this volume, making it an indispensable textbook for sleep medicine surgeons.
Contents
1 Sleep Disordered Breathing
2 General Aspects of Therapy
Index
About the Authors
Product Details
The chapters are grouped in different anatomical fields of interest. It gives general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care.
Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.
The enclosed DVD version of the book contains video files of elected procedures explained in the book. The reader has first the possibility to read the chapter text and then to reinforce his learning experience by reviewing the actual video of the procedure. The result is a complete illustrated information of the surgical procedure.The second edition of Surgery for Sleep Disordered Breathing will help training surgeons with special interest in modern sleep medicine.
From the Back Cover
The treatment of sleep disordered breathing has been enriched by the development of various new and largely surgical techniques. The question of which treatment best suits each individual patient has become a highly sophisticated decision. Among others, the most important factors for selecting the most appropriate treatment modality are the cruelty of the disease, the pathology found within the upper airway, and the sites of obstruction. Therefore, the second edition of this book focuses on both the surgical treatment modalities and the current concepts for treatment decisions.
For each procedure, current data (including data for the entirety of 2007) were reanalyzed according to the principles of evidence-based medicine, and are presented in well-arranged tables. Indications, techniques, complications, and specific follow-up treatments in the realm of sleep medicine have been compiled in the form of a primer.
New chapters concerning radiofrequency-uvulopalatoplasty and combined soft palate procedures were added, as well as a DVD presenting the surgical techniques preferred by the authors.
Both authors run prominent otolaryngological sleep laboratories, and perform approximately 1,500 surgical sleep medicine procedures per year. The complete surgical and sleep medicine expertise of the authors, as well as the experience of numerous international courses on sleep surgery, have been incorporated into this volume, making it an indispensable textbook for sleep medicine surgeons.
Contents
1 Sleep Disordered Breathing
2 General Aspects of Therapy
- 2.1 Conservative Treatment
- 2.2 Apparative Treatment
- 2.3 Fundamental Refl ections Regarding the Treatment Decision
- 2.4 Concept of Continuous Narrowing of the Upper Airway
- 3.1 Pressure Measurements
- 3.2 Flexible Endoscopy
- 3.3 Analysis of the Respiratory Sounds During Sleep
- 3.4 Further Imaging Procedures
- 4.1 Effectiveness of Treatment
- 4.2 Postoperative Care and Complications
- 4.3 Indications and Contraindications
- 4.4 Impact of Nasal Surgery on Nasal CPAP Treatment
- 4.5 Conclusion
- 5.1 Effectiveness of Treatment
- 5.2 Surgical Treatment
- 5.3 Postoperative Care and Complications
- 5.4 Indications and Contraindications
- 6.1 Tonsils
- 6.2 Uvulopalatopharyngoplasty (UPPP)
- 6.3 Recent Modifi cations of Uvulopalatopharyngoplasty
- 6.4 Laser-Assisted Uvulopalatoplasty (LAUP)
- 6.5 Radiofrequency Surgery
- 6.6 Palatal Implants
- 6.7 Other Soft Palate Procedures
- 7.1 Interstitial Radiofrequency Treatment (RFT)
- 7.2 Hyoid Suspension
- 7.3 Tongue Base Resection
- 7.4 Tongue Suspension
- 8.1 Genioglossus Advancement (GA)
- 8.2 Maxillomandibular Advancement (MMA)
- 8.3 Distraction Osteogenesis (DOG)
- 9.1 Pediatric Laryngeal OSA
- 9.2 Adult Laryngeal OSA
- 10.1 Surgical Concepts
- 10.2 Postoperative Care and Complications
- 10.3 Indications and Contraindications
- 11.3 Postoperative Care and Complications
- 11.4 Indications and Contraindications
- 12.1 Techniques
- 12.2 Effectiveness for OSA
- 12.3 Indications and Contraindications
- 12.4 Postoperative Care and Complications
- 13.1 Implications in Patients with OSA
- 13.2 Strategies for Intubation in Patients with a Known or Suspected Difficult Airway
- 13.3 Life-Threatening Situations
- 13.4 Extubating the Diffi cult Airway
- 13.5 Negative Pressure Pulmonary Edema
- 13.6 Postoperative Care
- 13.7 Documentation
Index
About the Authors
Product Details
- Hardcover: 302 pages
- Publisher: Springer; 2nd edition (May 21, 2010)
- Language: English
- ISBN-10: 3540777857
- ISBN-13: 978-3540777854