Modified Uvulopalatopharyngoplasty with Tonsillectomy in Treatment of Obstructive Sleep Apnoea

Nikisha, G. N.; Karthikeyan, S.

doi:10.1007/s12070-021-02443-w

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…Nevertheless, for the management of OSA, tonsillectomy is more commonly applied in combination with UPPP [ 139 , 140 ]. Evidence is showing that the efficacy of UPPP is significantly amplified when joined with a tonsillectomy, and studies established that it leads to an additional improvement of the AHI, snoring, and daytime sleepiness [ 141 ]. Regarding pediatric OSA, adenotonsillectomy is the first line of treatment [ 142 ].…”

Section: Surgical Therapy For Obstructive Sleep Apneamentioning

confidence: 99%

Oromaxillofacial Surgery: Both a Treatment and a Possible Cause of Obstructive Sleep Apnea—A Narrative Review

Martinović

Tokic

Puizina-Mladinic

et al. 2023

Life

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Obstructive sleep apnea (OSA) is a chronic, sleep-related breathing disorder. It is characterized by a nocturnal periodic decrease or complete stop in airflow due to partial or total collapse of the oropharyngeal tract. Surgical treatment of OSA is constantly evolving and improving, especially with the implementation of new technologies, and this is needed because of the very heterogeneous reasons for OSA due to the multiple sites of potential airway obstruction. Moreover, all of these surgical methods have advantages and disadvantages; hence, patients should be approached individually, and surgical therapies should be chosen carefully. Furthermore, while it is well-established that oromaxillofacial surgery (OMFS) provides various surgical modalities for treating OSA both in adults and children, a new aspect is emerging regarding the possibility that some of the surgeries from the OMFS domain are also causing OSA. The latest studies are suggesting that surgical treatment in the head and neck region for causes other than OSA could possibly have a major impact on the emergence of newly developed OSA, and this issue is still very scarcely mentioned in the literature. Both oncology, traumatology, and orthognathic surgeries could be potential risk factors for developing OSA. This is an important subject, and this review will focus on both the possibilities of OMFS treatments for OSA and on the OMFS treatments for other causes that could possibly be triggering OSA.

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