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Surgical Management in Snoring and Sleep-disordered Breathing
Rodolfo Lugo Saldaña
CHAPTER 1:
Sleep Tests and Diagnosis
HISTORY
Surgical History
Sleep Hygiene
Excessive Daytime Sleepiness
Snoring
Witnessed Apneas
Sleep Paralysis
Movements during Sleep
Impact on Daytime Functioning
CLINICAL PREDICTORS
LABORATORY DIAGNOSIS OF SLEEP APNEA
Electroencephalography and Sleep Stage
Wakefulness
NREM
REM
Respiratory Rules
Portable Monitoring
CHAPTER 2:
Upper Airway Exploration
INTRODUCTION
PHYSICAL EXAMINATION
Oropharynx
Craniofacial and Dental Evaluation
Neck
FLEXIBLE FIBEROPTIC NASOPHARYNGOSCOPY (FFN)
CEPHALOMETRY
MEASUREMENTS
SLEEP ENDOSCOPY
Technique
But What is the Degree of Reliability of DISE and the Impact on Treatment Recommendations?
How Well Does DISE Predict Surgical Success?
COMPUTED TOMOGRAPHY (CT)
MAGNETIC RESONANCE IMAGING (MRI)
OTHER AIRWAY ASSESSMENT TECHNIQUES
Acoustic Pharyngometry
Negative Expiratory Pressure (NEP)
Sleep Videofluoroscopy and Videofluoroscopy
CONCLUSION
CHAPTER 3:
Classification and Surgical Prognosis in a Sleep-disordered Breathing Patient
INTRODUCTION
BASIC CONCEPTS
CLASSIFICATION
DECIDING THE PROPER TREATMENT
CONCLUSION
CHAPTER 4:
Radiofrequency Fundamentals
HISTORY
BIOPHYSICS OF RADIOFREQUENCY ABLATION
RADIOFREQUENCY IN SLEEP BREATHING DISORDERS
Inferior Turbinate RF Results and Safety
Soft Palate TCRF Results and Safety
Tongue Base TCRF Results and Safety
RADIOFREQUENCY DEVICES
CONCLUSION
CHAPTER 5:
Office-based Procedures
INTRODUCTION
NOSE SURGERY
Technique
Complications
PALATE SURGERY
Pillar
Technique
Complications
Radiofrequency
Surgical Technique
CHAPTER 6:
Nasal and Turbinate Surgery
INTRODUCTION
INFERIOR TURBINOPLASTY
Objectives
VIDIAN NEURECTOMY
TOTAL AND PARTIAL TURBINECTOMY
INFRACTURE–OUTFRACTURE
ELECTROCAUTERIZATION
LASER VAPORIZATION
MICRODEBRIDER
RADIOFREQUENCY
VALVULOPLASTY AND SEPTOPLASTY
RESULTS
CONCLUSION
CHAPTER 7:
Pharyngeal and Palatal Surgery
INTRODUCTION
UVULOPALATAL FLAP VECTOR MODIFIED TECHNIQUE
Technique
DESINSERTION LATERAL PHARYNGOPLASTY TECHNIQUE
Technique
MARK THREE BASIC MYOTOMIES
MYOTOMY OF THE PALATOGLOSSUS AND PALATOPHARYNGEUS
CHAPTER 8:
Tongue Surgery
BACKGROUND
TONGUE SURGICAL SAFE AREA (LINGUAL SAFE ZONE)
SURGICAL RESECTION OF BASE OF TONGUE
Tongue Base Wedges (Fig. 8.2)
WEDGE TONGUE RESECTION TECHNIQUE (LINGUAPLASTY)
TONGUE BASE REDUCTION: TRANSCERVICAL APPROACH (FIG. 8.3)
BASE OF TONGUE REDUCTION WITH HYOIDEPIGLOTECTOMY (ANTERIOR CERVICAL APPROACH)
CONTROLLED RADIOFREQUENCY IN VOLUME REDUCTION OF THE BASE OF TONGUE (FIG. 8.4)
TONGUE REDUCTION VOLUMETRIC TECHNIQUE WITH RADIOFREQUENCY
SMILE (SUBMUCOSAL MINIMALLY INVASIVE LINGUAL EXCISION)
SUBMUCOSA RESECTION TECHNIQUE, SMILE: RADIOFREQUENCY TYPE COBLATOR
MIDLINE GLOSSECTOMY TECHNIQUE
Introduction
Technique
SUBMUCOSAL LINGUAPLASTY TECHNIQUE
Introduction
Technique
TONGUE SUSPENSION SYSTEM AIRVANCE (FIG. 8.9)
Introduction
Technique
TRANSORAL ROBOTIC BASE OF TONGUE SURGERY (TORS) (FIG. 8.10)
Introduction
Technique: TORS
CHAPTER 9:
Hyoid and Epiglottis Surgery
INTRODUCTION
ANATOMIC CONSIDERATIONS
INDICATIONS
SURGICAL TECHNIQUE
ORIGINAL SURGICAL TECHNIQUE
HYOID THYROIDoPEXY OR ADVANCING HYOID–LARYNGEAL
MODIFICATIONS OF SURGICAL TECHNIQUE
Hörmann's Modification
Hyoid Distraction and Expansion
Minimally Invasive Technique for Hyoid Suspension
OUTCOMES
IMPACT OF HYOID SURGERY IN MULTILEVEL SURGERY
COMPLICATIONS
CHAPTER 10:
Obstructive Sleep Apnea Surgical Treatment: Maxillomandibular Surgery
INTRODUCTION
HISTORY OF SURGICAL PROCEDURES
PATIENT EVALUATION
Airway Three-dimensional Analysis by Cone Beam
Cephalometry
TREATMENT PROTOCOL
SURGICAL TECHNIQUES
MMA Surgery
Maxillary Advancement
Mandibular Advancement
Genioglossus Advancement
Distraction Osteogenesis
RESULTS
CONCLUSION
CHAPTER 11:
Multilevel Surgery Indications
INTRODUCTION
SURGERY INDICATIONS IN MULTILEVEL CONCEPT
Example 1
Surgery and Procedures
Example 2
Surgery and Procedures
Example 3
Surgery and Procedures
Example 4
Surgery and Procedures
Example 5
Surgery and Procedures
MAXILLOFACIAL SURGERY: SURGICAL INDICATIONS IN MULTILEVEL SURGICAL TREATMENT
CONCLUSION
CHAPTER 12:
Anesthesiology in Snoring and Sleep-disordered Breathing Patients
INTRODUCTION
EXPLORATION
HANDLING ANESTHETICs
POSTOPERATIVE CONSIDERATIONS
CONCLUSION
CHAPTER 13:
Complications in Obstructive Sleep Apnea Surgery
INTRODUCTION
RELATED COMPLICATIONS OF AN ANESTHETIC SURGICAL PROCEDURE
Impact of Drugs Sedatives, Anesthetics, and Opioids on OSA
Alterations of Sleep Stages: REM Sleep Rebound Effect
Measures to Reduce the Risk of Anesthetic Surgical Procedures
Preoperative Period
Postoperative Considerations
RELATED COMPLICATION TECHNIQUES
Nasal Surgery
Nasopharyngeal Surgery
Tonsillectomy and Adenoidectomy
Palate Surgery
Uvulopalatopharyngoplasty
Early Complications
Late Complications
Palatal Implants
Surgery of the Hypopharynx and Larynx
Radiofrequency of the Tongue Base
Transoral Robotic Resection of Tongue Base with Partial Epiglottectomy
Submucosa Tongue-based Resection by Plasma Vaporization
Hyoid Suspension
Hematoma–seroma
Dysphagia
Fracture of the Hyoid
Rupture of Suspension Sutures
Pharyngocutaneous Fistula
Maxillofacial Surgery
Genioglossus Advancement
Dental Numbness
Hematoma
Mental nerve Damage
Damage to the Teeth
Dehiscence of Mucosa Suture
Fracture of the Mandible
Bimaxillary Advancement Surgery
CHAPTER 14:
The Future in Sleep-disordered Breathing and Snoring Surgery
GENERAL ASPECTS
SDB CURRENT CONCEPTS
THERAPEUTIC ALTERNATIVES
THE FUTURE IN THE TREATMENT OF SDB
MULTILEVEL SURGERY
TRACHEOSTOMY
NEW TECHNOLOGIES
CO2 Laser
Radiofrequency Controlled by Computer
Coblator
Robotic Surgery
Neurostimulators
CONCLUSION
INDEX
TOC
Index
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