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.
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 Identifying the Site of Obstruction
3.1 Pressure Measurements
3.2 Flexible Endoscopy
3.3 Analysis of the Respiratory Sounds During Sleep
3.4 Further Imaging Procedures
4 Nasal Surgery
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 Nasopharyngeal Surgery
5.1 Effectiveness of Treatment
5.2 Surgical Treatment
5.3 Postoperative Care and Complications
5.4 Indications and Contraindications
6 Palatal Surgery
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 Lower Pharyngeal Airway Procedures
7.1 Interstitial Radiofrequency Treatment (RFT)
7.2 Hyoid Suspension
7.3 Tongue Base Resection
7.4 Tongue Suspension
8 Maxillofacial Surgeries
8.1 Genioglossus Advancement (GA)
8.2 Maxillomandibular Advancement (MMA)
8.3 Distraction Osteogenesis (DOG)
9 Laryngeal OSA
9.1 Pediatric Laryngeal OSA
9.2 Adult Laryngeal OSA
10 Multilevel Surgery
10.1 Surgical Concepts
10.2 Postoperative Care and Complications
10.3 Indications and Contraindications
11 Tracheotomy
11.3 Postoperative Care and Complications
11.4 Indications and Contraindications
12 Bariatric Surgery
12.1 Techniques
12.2 Effectiveness for OSA
12.3 Indications and Contraindications
12.4 Postoperative Care and Complications
13 Anesthesiologic Airway Management
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
References
Index
About the Authors
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