Journal Reviews

Describing the most useful OSA assessment?

1 January 2017 | | sleep endoscopy, drug-induced sleep endoscopy, DISE, sleep nasendoscopy

This article sets out to comprehensibly describe drug induced sleep endoscopy and its role in determining the level of obstruction in patients with OSA. The advantages described include the fact that other techniques, including Muller’s manoeuvre, have significant variation in...

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...

Stimulation for a good night’s sleep

1 July 2016 | | obstructive sleep apnea, neuromodulation, hypoglossal nerve stimulation

This article was an interesting read. It is an update from the authors’ original paper printed in the NEJM in 2014 regarding the results of an implantable pulse generator (IPG) for stimulating the hypoglossal nerve in response to respiration. This...

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...

Advancing the tongue in OSA surgery

1 May 2016 | | Genioglossus, genioglossal, OSA, sleep surgery

This article further delineates the options for hypopharyngeal OSA and describes the technique of genioglossus advancement to improve the tension in the tongue base. The authors take the reader through the relevant anatomy appropriate to the procedure and describe the...

Hypoglossal stimulation for OSA

1 May 2016 | | apnea hypopnea index, clinical, cranial nerve, device, hypoglossal nerve, implant, long term, obstructive sleep apnea, quality of life, sleep

Continuous positive airway pressure (CPAP) is a highly effective treatment for moderate-to-severe obstructive sleep apnoea (OSA), but suffers significantly from poor patient adherence. This paper reports the three-year outcomes of a prospective multicentre cohort study examining the effect of hypoglossal...

The Impact of sleep endoscopy for paediatric obstructive sleep-disordered breathing

1 May 2015 | | Sleep-disordered breathing, obstructive sleep apnea syndrome, snoring, drug-induced sleep endoscopy, polysomnography, children

Paediatric obstructive sleep apnoea (OSA) is not always resolved or improved with adenotonsillectomy. Persistent or complex cases of paediatric OSA may be due to sites of obstruction in the airway other than the tonsils and adenoids. Investigation of paediatric obstructive...

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