The Long‐Term Evaluation of Tracheostomy in the Management of Severe Obstructive Sleep Apnea

Thatcher, Gentry; Maisel, Robert H.

doi:10.1097/00005537-200302000-00001

Cited by 57 publications

(26 citation statements)

References 19 publications

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“…BPD was most successful for OSA, with laproscopic gastric banding, the least (Sarkhosh et al, 2013).  Tracheostomy is done when others fails.Thou it cures sleep apnea, chances of apnea resolution with decannulation is a problem (Thatcher et al, 2003).…”

Section: Conservatively It Include-mentioning

confidence: 99%

Modalities of treatment for sleep disordered breathing

Tin¹,

Ohn²

2016

Asian J. Med. Biol. Res

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Abstract:Sleep disordered breathing is a spectrum of diseases that includes snoring, upperairway resistance syndrome and obstructive sleep apnea. It occurs more in obese males, resulting in hypertension and cardiac complications if untreated. There are various treatments, conservatively and surgically, starting from simple tonsillectomy to multi-level surgeries and multi discipline. Literature review was carried out on the pathophysiology, clinical presentation, complications, diagnosis and various treatments, using internet Google, search PubMed. Additional information was obtained by cross referencing, using text and journals in the medical libraries.

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Section: Conservatively It Include-mentioning

confidence: 99%

Modalities of treatment for sleep disordered breathing

Tin¹,

Ohn²

2016

Asian J. Med. Biol. Res

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“…Curative otolaryngologic surgery has historically been limited to tracheostomy, which may be indicated for patients with severe OSA and associated comorbidities. 21 Hypoglossal nerve stimulation may effectively treat some patients with moderate to severe OSA. Figure 1 depicts the ALT process flow.…”

Section: Otolaryngologymentioning

confidence: 99%

Multidisciplinary Alternatives to CPAP Program for CPAP-Intolerant Patients

Shelgikar

Aronovich

Stanley

2017

Journal of Clinical Sleep Medicine

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Continuous positive airway pressure (CPAP) intolerance remains a persistent problem for many obstructive sleep apnea patients. Clinicians and researchers continue to search for other effective treatment modalities given the well-documented sequelae associated with untreated obstructive sleep apnea. A multidisciplinary "Alternatives to CPAP program" (ALT) can facilitate systematic evaluation of non-CPAP therapies appropriate for an individual patient. We review successful strategies and barriers encountered during implementation of an ALT at our institution. Creation of similar programs in private practice and academic settings can help medical, dental, and surgical sleep medicine specialists coordinate evaluation and treatment of CPAP-intolerant patients.

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“…The majority of patients (73%) had mild pulmonary edema, 20% had moderate and 7% with severe pulmonary edema. [13] A total of two tracheostomy related mortalities from a series of 79 patients with long term tracheostomies were reported [14]. 9 other early complications were considered mild, and included 4 cases of granulation tissue management, 4 cases of skin flap necrosis, and 1 case of pneumonia.…”

Section: ǧ ǣmentioning

confidence: 99%