Offering a focused, multidisciplinary approach to obstructive sleep apnea and snoring, Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy, 3rd Edition, keeps you up to date with every effective intervention, making it an outstanding reference for evaluation and treatment. Concise, templated chapters cover indications, patient selection criteria, surgical technique, complications, and results—all highlighted with clinical photos, case studies, and video clips. This edition reflects new and improved techniques and minimally invasive surgical options, a new editorial team, and an extensive group of internationally renowned contributing authors who provide a fresh perspective throughout the text.
1. SECTION A: INTRODUCTION - p. S1 2. Welcome to the Third Edition of Sleep Apnea and Snoring: The Role of the Otolaryngologist - p. 2 3. SECTION B: ASSESSMENT & DIAGNOSIS - p. S5 4. 2. Signs and Symptoms of Obstructive Sleep Apnea and Upper Airway Resistance Syndrome in Adults - p. 6 5. 3. Airway Evaluation in Obstructive Sleep Apnea - p. 15 6. 4. Clinical Polysomnography - p. 24 7. 5. Home Sleep Testing - p. 35 8. 6. Consumer Obstructive Sleep Apnea Technologies - p. 41 9. 7. Sleep Study Interpretation: What the Sleep Surgeon Should Know - p. 51 10. 8. Drug-Induced Sleep Endoscopy: How to Do It, Tips, and Tricks - p. 65 11. 9. Controversies in Drug-Induced Sleep Endoscopy (DISE) - p. 70 12. SECTION C: NONSURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S75 13. 10. Obstructive Sleep Apnea: Decision-Making and Treatment Planning - p. 76 14. 11. Positive Airway Pressure Therapy for Obstructive Sleep Apnea - p. 82 15. 12. Oral Appliance Therapy for Obstructive Sleep Apnea - p. 93 16. 13. Positional Therapy for Obstructive Sleep Apnea - p. 102 17. 14. Oropharyngeal Exercises for Adults With Obstructive Sleep Apnea - p. 107 18. 15. Emerging Medical Treatments for Obstructive Sleep Apnea - p. 116 19. SECTION D: SURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S121 20. 16. Rationale and Indications for Surgical Treatment - p. 122 21. 17. The Impact of Surgical Treatment of Obstructive Sleep Apnea on Cardiovascular and Other Clinical Outcomes - p. 127 22. 18. Obstructive Sleep Apnea Surgery Clinical Trials: Evidence - p. 133 23. SECTION E: ANESTHESIA FOR OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S147 24. 19. Perioperative Monitoring in Obstructive Sleep Apnea Syndrome (DRAFT) - p. 148 25. 20. Perioperative and Anesthesia Management for Patients Undergoing Sleep Apnea Surgery - p. 157 26. SECTION F: TREATMENT SELECTION - p. S167 27. 21. Algorithm for Obstructive Sleep Apnea Treatment and the Role of Palatopharyngoplasty Surgery - p. 168 28. 22. Algorithm for Multilevel Treatment: Riley, Powell, and Liu’s Stanford Experience - p. 176 29. SECTION G: NASAL SURGERY FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S191 30. 23. Algorithm for Multilevel Treatment - p. 184 31. 24. Nasal Obstruction and Sleep-Disordered Breathing - p. 192 32. 25. Minimally Invasive Surgical Nasal Valve Techniques - p. 196 33. 26. Plastic Surgery Techniques for the Correction of Nasal Obstruction - p. 207 34. 27. Inferior Turbinate Reduction - p. 215 35. SECTION H: MINIMALLY INVASIVE PALATAL PROCEDURES - p. S219 36. 28. Treatment of Snoring Using Radiofrequency-Based Procedures - p. 220 37. 29. Anterior Palatoplasty - p. 224 38. 30. Injection Snoreplasty - p. 230 39. 31. Barbed Suture Snoreplasty - p. 233 40. 32. Tongue and External Muscular Stimulation - p. 240 41. 33. Role of Laser Surgery in Treatment of Obstructive Sleep Apnea - p. 245 42. SECTION I: PALATOPHARYNGOPLASTYSURGERY - p. S253 43. 34. Evolution of Uvulopalatopharyngoplasty - p. 254 44. 35. Lateral Pharyngoplasty - p. 264 45. 36. Expansion Sphincter Pharyngoplasty - p. 268 46. 37. Palatal Hybrid Surgery - p. 273 47. 38. Robinson’s Australian Modified Uvulopalatopharyngoplasty - p. 278 48. 39. Modified Uvulopalatopharyngoplasty with Uvula Preservation - p. 285 49. 40. Transpalatal Advancement Pharyngoplasty - p. 290 50. 41. Barbed Reposition Pharyngoplasty - p. 296 51. SECTION J: MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES - p. S305 52. 42. Hypopharyngeal Surgery for Obstructive Sleep Apnea - p. 306 53. 43. Coblation Tongue Base Reduction and Lingual Tonsillectomy for Obstructive Sleep Apnea - p. 310 54. 44. Tongue Base Stabilization for Obstructive Sleep Apnea and Snoring - p. 315 55. 45. Hyoid Suspension - p. 319 56. 46. Management of the Epiglottis - p. 324 57. 47. Transoral Robotic Surgery in Obstructive Sleep Apnea Surgical Treatment - p. 329 58. SECTION K: NEUROSTIMULATION - p. S341 59. 48. Hypoglossal Nerve Stimulation Therapy - p. 342 60. 49. Targeted Hypoglossal Neurostimulation for the Treatment of Obstructive Sleep Apnea - p. 353 61. 50. Bilateral Hypoglossal Nerve Stimulation - p. 358 62. 51. Ansa Cervicalis Stimulation for Obstructive Sleep Apnea - p. 366 63. 52. Controversies in Hypoglossal Nerve Stimulation - p. 373 64. SECTION L: MAXILLOFACIAL SURGICALTECHNIQUES - p. S385 65. 53. Skeletal Advancement Techniques for Obstructive Sleep Apnea - p. 386 66. 54. Genioglossus Advancement - p. 395 67. 55. Maxillary Expansion for Adult Obstructive Sleep Apnea - p. 403 68. SECTION M: TRACHEOSTOMY FOR OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S417 69. 56. Tracheostomy for Obstructive Sleep Apnea - p. 418 70. SECTION N: POSTOPERATIVE MANAGEMENT AND COMPLICATIONS - p. S425 71. 57. Postoperative Problem Management Post Pharyngoplasty - p. 426 72. 58. Multimodality Management of Nasopharyngeal Stenosis After Uvulopalatopharyngoplasty - p. 430 73. 59. Current Techniques for the Treatment of Velopharyngeal Insufficiency - p. 434 74. 60. Management of Persistent Obstructive Sleep Apnea Post Uvulopalatopharyngoplasty (UPPP) - p. 442 75. 61. Revision Surgery Following Palatopharyngoplasty - p. 446 76. SECTION O: PEDIATRIC OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S453 77. 62. Management of Sleep-Related Breathing Disorders in Children - p. 454 78. 63. Drug-Induced Sleep Endoscopy in Children - p. 467 79. 64. Intracapsular Microdebrider–Assisted and Coblation Tonsillectomy - p. 472 80. 65. Adenoidectomy Techniques - p. 476 81. 66. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea - p. 485 82. 67. The Dentist’s Role in the Treatment of Pediatric Obstructive Sleep Apnea - p. 491 83. 68. Laryngomalacia as a Cause of Obstructive Sleep Apnea - p. 499 84. 69. Surgical and Neurostimulation Treatment of Obstructive Sleep Apnea in Down Syndrome - p. 503 85. 70. Myofunctional Therapy for Pediatric Obstructive Sleep Apnea - p. 508 86. SECTION P: FUTURE OF OBSTRUCTIVE SLEEP APNEA TREATMENT - p. S519 87. 71. Innovations and Future Directions in Surgical Treatment of Obstructive Sleep Apnea - p. 520 88. Index - p. 527
Offering a focused, multidisciplinary approach to obstructive sleep apnea and snoring, Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy, 3rd Edition, keeps you up to date with every effective intervention, making it an outstanding reference for evaluation and treatment. Concise, templated chapters cover indications, patient selection criteria, surgical technique, complications, and results—all highlighted with clinical photos, case studies, and video clips. This edition reflects new and improved techniques and minimally invasive surgical options, a new editorial team, and an extensive group of internationally renowned contributing authors who provide a fresh perspective throughout the text.
1. SECTION A: INTRODUCTION - p. S1 2. Welcome to the Third Edition of Sleep Apnea and Snoring: The Role of the Otolaryngologist - p. 2 3. SECTION B: ASSESSMENT & DIAGNOSIS - p. S5 4. 2. Signs and Symptoms of Obstructive Sleep Apnea and Upper Airway Resistance Syndrome in Adults - p. 6 5. 3. Airway Evaluation in Obstructive Sleep Apnea - p. 15 6. 4. Clinical Polysomnography - p. 24 7. 5. Home Sleep Testing - p. 35 8. 6. Consumer Obstructive Sleep Apnea Technologies - p. 41 9. 7. Sleep Study Interpretation: What the Sleep Surgeon Should Know - p. 51 10. 8. Drug-Induced Sleep Endoscopy: How to Do It, Tips, and Tricks - p. 65 11. 9. Controversies in Drug-Induced Sleep Endoscopy (DISE) - p. 70 12. SECTION C: NONSURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S75 13. 10. Obstructive Sleep Apnea: Decision-Making and Treatment Planning - p. 76 14. 11. Positive Airway Pressure Therapy for Obstructive Sleep Apnea - p. 82 15. 12. Oral Appliance Therapy for Obstructive Sleep Apnea - p. 93 16. 13. Positional Therapy for Obstructive Sleep Apnea - p. 102 17. 14. Oropharyngeal Exercises for Adults With Obstructive Sleep Apnea - p. 107 18. 15. Emerging Medical Treatments for Obstructive Sleep Apnea - p. 116 19. SECTION D: SURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S121 20. 16. Rationale and Indications for Surgical Treatment - p. 122 21. 17. The Impact of Surgical Treatment of Obstructive Sleep Apnea on Cardiovascular and Other Clinical Outcomes - p. 127 22. 18. Obstructive Sleep Apnea Surgery Clinical Trials: Evidence - p. 133 23. SECTION E: ANESTHESIA FOR OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S147 24. 19. Perioperative Monitoring in Obstructive Sleep Apnea Syndrome (DRAFT) - p. 148 25. 20. Perioperative and Anesthesia Management for Patients Undergoing Sleep Apnea Surgery - p. 157 26. SECTION F: TREATMENT SELECTION - p. S167 27. 21. Algorithm for Obstructive Sleep Apnea Treatment and the Role of Palatopharyngoplasty Surgery - p. 168 28. 22. Algorithm for Multilevel Treatment: Riley, Powell, and Liu’s Stanford Experience - p. 176 29. SECTION G: NASAL SURGERY FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S191 30. 23. Algorithm for Multilevel Treatment - p. 184 31. 24. Nasal Obstruction and Sleep-Disordered Breathing - p. 192 32. 25. Minimally Invasive Surgical Nasal Valve Techniques - p. 196 33. 26. Plastic Surgery Techniques for the Correction of Nasal Obstruction - p. 207 34. 27. Inferior Turbinate Reduction - p. 215 35. SECTION H: MINIMALLY INVASIVE PALATAL PROCEDURES - p. S219 36. 28. Treatment of Snoring Using Radiofrequency-Based Procedures - p. 220 37. 29. Anterior Palatoplasty - p. 224 38. 30. Injection Snoreplasty - p. 230 39. 31. Barbed Suture Snoreplasty - p. 233 40. 32. Tongue and External Muscular Stimulation - p. 240 41. 33. Role of Laser Surgery in Treatment of Obstructive Sleep Apnea - p. 245 42. SECTION I: PALATOPHARYNGOPLASTYSURGERY - p. S253 43. 34. Evolution of Uvulopalatopharyngoplasty - p. 254 44. 35. Lateral Pharyngoplasty - p. 264 45. 36. Expansion Sphincter Pharyngoplasty - p. 268 46. 37. Palatal Hybrid Surgery - p. 273 47. 38. Robinson’s Australian Modified Uvulopalatopharyngoplasty - p. 278 48. 39. Modified Uvulopalatopharyngoplasty with Uvula Preservation - p. 285 49. 40. Transpalatal Advancement Pharyngoplasty - p. 290 50. 41. Barbed Reposition Pharyngoplasty - p. 296 51. SECTION J: MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES - p. S305 52. 42. Hypopharyngeal Surgery for Obstructive Sleep Apnea - p. 306 53. 43. Coblation Tongue Base Reduction and Lingual Tonsillectomy for Obstructive Sleep Apnea - p. 310 54. 44. Tongue Base Stabilization for Obstructive Sleep Apnea and Snoring - p. 315 55. 45. Hyoid Suspension - p. 319 56. 46. Management of the Epiglottis - p. 324 57. 47. Transoral Robotic Surgery in Obstructive Sleep Apnea Surgical Treatment - p. 329 58. SECTION K: NEUROSTIMULATION - p. S341 59. 48. Hypoglossal Nerve Stimulation Therapy - p. 342 60. 49. Targeted Hypoglossal Neurostimulation for the Treatment of Obstructive Sleep Apnea - p. 353 61. 50. Bilateral Hypoglossal Nerve Stimulation - p. 358 62. 51. Ansa Cervicalis Stimulation for Obstructive Sleep Apnea - p. 366 63. 52. Controversies in Hypoglossal Nerve Stimulation - p. 373 64. SECTION L: MAXILLOFACIAL SURGICALTECHNIQUES - p. S385 65. 53. Skeletal Advancement Techniques for Obstructive Sleep Apnea - p. 386 66. 54. Genioglossus Advancement - p. 395 67. 55. Maxillary Expansion for Adult Obstructive Sleep Apnea - p. 403 68. SECTION M: TRACHEOSTOMY FOR OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S417 69. 56. Tracheostomy for Obstructive Sleep Apnea - p. 418 70. SECTION N: POSTOPERATIVE MANAGEMENT AND COMPLICATIONS - p. S425 71. 57. Postoperative Problem Management Post Pharyngoplasty - p. 426 72. 58. Multimodality Management of Nasopharyngeal Stenosis After Uvulopalatopharyngoplasty - p. 430 73. 59. Current Techniques for the Treatment of Velopharyngeal Insufficiency - p. 434 74. 60. Management of Persistent Obstructive Sleep Apnea Post Uvulopalatopharyngoplasty (UPPP) - p. 442 75. 61. Revision Surgery Following Palatopharyngoplasty - p. 446 76. SECTION O: PEDIATRIC OBSTRUCTIVE SLEEP APNEA/HYPOPNEA SYNDROME - p. S453 77. 62. Management of Sleep-Related Breathing Disorders in Children - p. 454 78. 63. Drug-Induced Sleep Endoscopy in Children - p. 467 79. 64. Intracapsular Microdebrider–Assisted and Coblation Tonsillectomy - p. 472 80. 65. Adenoidectomy Techniques - p. 476 81. 66. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea - p. 485 82. 67. The Dentist’s Role in the Treatment of Pediatric Obstructive Sleep Apnea - p. 491 83. 68. Laryngomalacia as a Cause of Obstructive Sleep Apnea - p. 499 84. 69. Surgical and Neurostimulation Treatment of Obstructive Sleep Apnea in Down Syndrome - p. 503 85. 70. Myofunctional Therapy for Pediatric Obstructive Sleep Apnea - p. 508 86. SECTION P: FUTURE OF OBSTRUCTIVE SLEEP APNEA TREATMENT - p. S519 87. 71. Innovations and Future Directions in Surgical Treatment of Obstructive Sleep Apnea - p. 520 88. Index - p. 527
