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Bae and Lee: Surgical Management for Obstructive Sleep Apnea Syndrome
Review Article

The Ewha Medical Journal 2013; 36(2): 93-96.

Published online: 26 September 2013

DOI: https://doi.org/10.12771/emj.2013.36.2.93

Surgical Management for Obstructive Sleep Apnea Syndrome

Jung-Ho Bae, Seung-Sin Lee

Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Seung-Sin Lee. Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-6166, Fax: 82-2-2648-5604, seungsin2@ewha.ac.kr

Received 25 July 2013       Accepted 7 August 2013

Copyright © 2013. Ewha Womans University School of Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Obstructive sleep apnea syndrome (OSAS) is caused by repetitive upper-airway narrowing or collapse during sleep resulting in hypopneas and apneas. When a patient is diagnosed of OSAS with polysomnogram, he/she should receive upper airway evaluation to find the narrow site. The anatomic narrow site can be nasal cavity, nasopharynx, oropharynx, and/or hypopharynx. Surgical treatment for OSAS should be tailored to the anatomic narrow site. In this article, the authors describe surgical treatment options for OSAS.

Keywords: Apnea, Hypopnea, Obstructive sleep apnea syndrome, Polysomnogram, Surgery

Figures and Tables

Fig. 1
Surgical protocol for patients with OSAS. Surgical treatment options are tailored to the site of obstruction. More invasive surgery is reserved for surgical failure in phase I surgery. This protocol is modified from Stanford protocol [13]. UPPP, uvulopalatopharyngoplasty; GA, genioglossus advancement; HS, hyoid suspension; MMA, maxillomandibular advancement; TBR, tongue base reduction.
emj-36-93-g001

References

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