Tongue base suspension and radiofrequency volume reduction: a comparison between 2 techniques for the treatment of sleep-disordered breathing

Fibbi, A; Ameli, Franco; Brocchetti, Fabio; Mignosi, Sofia; Cabano, Maria Eloisa; Semino, L

doi:10.1016/j.amjoto.2008.08.006

Cited by 28 publications

(29 citation statements)

References 19 publications

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“…Although there was no universally acceptable opinion for operative space for functional tongue surgery, some scholars have performed functional tongue surgeries in a larger space than usual 8. Lauretano et al10 also indicated that this inferolateral location of the HLNVB in the tongue base allowed for the potential for an aggressive tongue base resection without neurovascular compromise.…”

Section: Discussionmentioning

confidence: 99%

“…The lingual arteries are the most susceptible structures to injury of the hypoglossal/lingual artery neurovascular bundle (HLNVB) in surgeries for the narrowing hypopharyngeal region. Thus, bleeding,6 pseudoaneurysm,7 and hematoma8 are serious complications of these surgical procedures, and can result in severe obstruction in the hypopharyngeal region. The main reason for these complications is that the course of the lingual artery is not directly visible in detail.…”

Section: Introductionmentioning

confidence: 99%

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The definition of the V zone for the safety space of functional surgery of the tongue

2011

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The definition of the V zone for the safety space of functional surgery of the tongue

2011

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“…The conventional posterior route of access seems to be comparable to ventral access via the floor of the mouth [45]. The few long-term results indicate a decreasing effect over time (6 vs. 24 months) [46]. The few long-term results indicate a decreasing effect over time (6 vs. 24 months) [46].…”

Section: Rft Of Tongue Basementioning

confidence: 95%

“…Eight studies are available with a total of 182 datasets, one of which is randomised-controlled [46,[48][49][50][51]. According to these, mean AHI could be significantly lowered from 28.6 preoperatively to 18.6 postoperatively with a surgical success rate according to Sher of 35.9 % (follow-up 2-24 months).…”

Section: Tongue Suspensionmentioning

confidence: 99%

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ENT-specific therapy of obstructive sleep apnoea in adults

et al. 2016

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The German Society of Otorhinolaryngology, Head and Neck Surgery recently has released the abbreviated version of its scientific guideline "ENT-specific therapy of obstructive sleep apnoea (OSA) in adults", which has been updated in 2015 and can be found online at the Association of the Scientific Medical Societies (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF). A summary of the main recommendations is provided in this revised English version. All recommendations are based on a systematic literature research of articles published up until March 2014. Literature research followed the Cochrane Handbook for Systematic Literature Research to create Guidelines published by the German Cochrane Centre. Studies were evaluated with respect to their scientific value according to the recommendations of the Oxford Centre for Evidence-based Medicine, and grades of recommendation are provided regarding each intervention.

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

118

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Tongue base suspension and radiofrequency volume reduction: a comparison between 2 techniques for the treatment of sleep-disordered breathing

Cited by 28 publications

References 19 publications

The definition of the V zone for the safety space of functional surgery of the tongue

The definition of the V zone for the safety space of functional surgery of the tongue

ENT-specific therapy of obstructive sleep apnoea in adults

International Consensus Statement on Obstructive Sleep Apnea

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