Surgical Treatment of Base of Tongue for Obstructive Sleep Apnea.
10.3342/kjorl-hns.2012.55.11.675
- Author:
Hyung Ju CHO
1
Author Information
1. Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. hyungjucho@yuhs.ac
- Publication Type:Review
- Keywords:
Glossectomy;
Robotics;
Sleep apnea syndromes;
Surgery;
Tongue
- MeSH:
Chronic Disease;
Continuous Positive Airway Pressure;
Glossectomy;
Humans;
Metabolic Diseases;
Oropharynx;
Palate, Soft;
Palatine Tonsil;
Robotics;
Sleep Apnea Syndromes;
Sleep Apnea, Obstructive;
Tongue;
Uvula
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2012;55(11):675-680
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive sleep apnea (OSA) is a chronic disease with the risks of secondary cardiovascular or metabolic diseases. Continuous positive airway pressure (CPAP) is the first line treatment for OSA, but patients who fail the treatment with CPAP or other conservative treatment, should be considered for surgery. The early target of sleep surgery was the oropharynx by tonsils, uvula, and soft palate. However, a better understanding of the pathophysiology of OSA and improvement of diagnostic methods has revealed multi-level obstruction in the upper airway. The base of tongue is one of major contributors to OSA and many surgical methods have been developed to resolve the compromise of retroglossal area. Careful examinations of obstruction site and its structured approach to surgery with less morbidity should be evaluated and understood for the better outcome by sleep surgery.
