Journal Reviews

The sleep nasendoscopy learning curve

1 July 2017 | | DISE, Drug-induced sedation endoscopy, Obstructive sleep apnea hypoapnea syndrome, Sleep disordered breathing, Sleep endoscopy, VOTE classification

There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...

Comparison of outcomes after septoplasty

1 May 2017 | | Nasal septoplasty, SNOT, Allergic rhinitis, Snoring, Obstructive sleep apnea, Chronic rhinosinusitis

For this prospective study, the authors assessed the quality of life (QoL) with the rhinosinusitis SNOT-20 (Sino-Nasal Outcome Test-20) questionnaire and the symptoms on a visual analogue scale (VAS) in all patients undergoing nasal septal surgery. The patients reported the...

Surgical options for children with OSA

1 January 2017 | | Sleep-disordered breathing, Sleep apnea, Obstructive sleep apnea, Pediatric, Adenotonsillectomy, Lingual tonsillectomy, Midline glossectomy, Supraglottoplasty, Turbinoplasty, Tracheostomy, Drug-induced sleep endoscopy, DISE, Distraction osteogenesis

This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...

Outcome of TORS to tongue base and epiglottis in patients with OSA intolerant of conventional treatment

1 September 2016 | | Epiglottoplasty, Obstructive sleep apnea, Robotic surgery, Tongue base reduction, Transoral

The use of transoral robotic surgery (TORS) in ENT is rather controversial, but the use of robotic surgery for obstructive sleep apneoa (OSA), makes it doubly so. Previous studies on TORS in OSA have been performed with other types of...

Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis

1 July 2016 | | Apnea-hypopnea index, Obstructive sleep apnea, Oral pressure therapy, Treatment success rate

Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...

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