Chin Strap As An Effective Treatment For Severe Obstructive Sleep Apnoea Osa In A Patient Who Failed Transoral Robotic Surgery Tors
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| Author | : Henry Zhang |
| Publisher | : |
| Total Pages | : |
| Release | : 2017 |
| Genre | : |
| ISBN | : |
BackgroundA 55 year old man with severe Obstructive Sleep Apnoea (OSA) underwent transoral robotic midline glossectomy and epiglottic wedge resection, after failing Continuous Positive Airway Pressure (CPAP) therapy. MethodAfter assessment with Drug Induced Sleep Endoscopy (DISE), it was found that the patient still had significant level 3 obstruction. A simple mouth closure opened the airway significantly during the procedureResultsThe patient was recommended a chin strap as treatment for his persistent OSA. Repeat sleep study with the chin strap on showed a reduction of AHI from 35/hour to 5/hour.ConclusionsThis case demonstrates the importance of performing DISE in patients who have persistent OSA after surgery. It also highlights the effectiveness of simple devices such as chin straps, in the treatment of OSA.
| Author | : Claudio Vicini |
| Publisher | : Springer |
| Total Pages | : 229 |
| Release | : 2016-09-01 |
| Genre | : Medical |
| ISBN | : 3319340409 |
This comprehensive book pulls together the essential elements needed to assess sleep apnea patients for the transoral robotic surgical approach and how to optimize the surgery. Detailed information on patient selection, pre-operative work up, anesthesiological pre and post-operative management, surgery, complication prevention and management is provided along with background on sleep medicine and sleep surgery. Authored for ENT surgeons, head and neck specialists and neurologists, pneumonologists, sleep doctors as well for anesthesiologists, chapters offer solutions pulled from experts in the field of sleep surgery and information relevant to geographic areas worldwide.
| Author | : Clemens Heiser |
| Publisher | : Springer Nature |
| Total Pages | : 339 |
| Release | : 2022-07-31 |
| Genre | : Medical |
| ISBN | : 3030895041 |
This book by leading international experts provides an evidence-based approach to electrical stimulation of the upper airway, beginning with patient selection, implant techniques, trouble shootings, patient pathways, titrations during daytime and sleep as also new innovative techniques such as stimulation of the ansa cervicalis and the phrenic nerve. Key Features: · Superbly illustrated schematic drawings and full-colored photographs; · Step-by-step description of surgical concepts and techniques on all of the market available systems (Inspire, Nyxoah, LivaNova, Remede); · Complete online media library with videos on the surgical procedures; · New surgical steps presented for well established procedures (e.g. 2-incicions technique); · Discussion of outcomes, success rates, risks, and potential troubleshooting’s, where evidenced-based data are not available, expert opinion is provided. Upper Airway Stimulation in Obstructive Sleep Apnea will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery.
| Author | : Karl Doghramji |
| Publisher | : Oxford University Press |
| Total Pages | : 265 |
| Release | : 2021-01-18 |
| Genre | : Health & Fitness |
| ISBN | : 0197521649 |
Obstructive sleep apnea (OSA) with heavy snoring is a common disorder, affecting more than 1 out of 10 adults, and is closely associated with hypertension, heart disease, stroke, depression, and cognitive decline. Upper airway stimulation therapy is a novel, highly effective alternative method of treatment, involving a surgically implanted device that uses electrical stimulation of muscles to expand the upper airway, thereby addressing the primary cause of OSA. The first of its kind, Upper Airway Stimulation Therapy for Obstructive Sleep Apnea is a comprehensive review of the medical, surgical, and technical aspects of this innovative treatment for OSA. It delves into the current state of knowledge regarding upper airway stimulation, reviewing pathophysiological basis of sleep apnea and the specific mechanism by which upper airway stimulation provides airway support in this disorder. Evidence-based, this book provides practical guidelines for patient selection, clinical outcomes, surgical technique, long-term follow-up and adverse events, as well as for developing an upper airway stimulation program.
| Author | : Ian Calder |
| Publisher | : Cambridge University Press |
| Total Pages | : 331 |
| Release | : 2010-12-16 |
| Genre | : Medical |
| ISBN | : 1139493744 |
Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.
| Author | : D.S. Deenadayal |
| Publisher | : Springer Nature |
| Total Pages | : 136 |
| Release | : 2022-01-04 |
| Genre | : Medical |
| ISBN | : 9811666202 |
There are many books describing in detail the evaluation,diagnosis and management of OSA, but this is a first practical guide which comprehensively describes this condition. The incidence of snoring and obstructive sleep apnea is on rise and this practical guide will help not just specialists but also residents and fellows in treating their patients with Obstructive sleep apnea. Essential information is summarized in the form of charts and surgical steps are summarized in the form of diagrammatic illustration making it easy for the learners.This book additionally would help the medical practitioners to get a practical insight in the management of patients .This book will describe each entity of sleep disordered breathing, evidence based protocols , diagnostic tools required for identifying , medical therapies that will help in appropriate patients, Devices that can be used for its management . This book will also describe on how to select patients for surgery and how tailor the surgery as per the anatomy of the patient.
| Author | : Rodolfo Lugo Saldana |
| Publisher | : JP Medical Ltd |
| Total Pages | : 236 |
| Release | : 2015-08-31 |
| Genre | : Medical |
| ISBN | : 9351528898 |
Obstructive sleep apnoea is a condition where the walls of the throat relax and narrow during sleep, interrupting normal breathing (NHS Choices). Surgical Management in Snoring and Sleep-Disordered Breathing is an illustrated guide to the diagnosis and treatment of patients who require surgery for obstructive sleep apnoea. Divided into 15 chapters, the book begins with sleep tests and diagnosis, upper airway exploration and guidance on classification and surgical prognosis of a patient with sleep-disordered breathing. Common modalities for exploring the upper airway, as well as techniques currently under development, are discussed in detail. Further chapters cover a range of surgical procedures. The closing chapters cover anaesthesiology, complications of obstructive sleep apnoea surgery, and the future of sleep-disordered breathing and snoring surgery. Surgical Management in Snoring and Sleep-Disordered Breathing is enhanced by 139 full colour images and illustrations, making this up-to-date and forward looking book an ideal resource for postgraduates, otolaryngologists, anaesthesiologists and surgeons. Key Points Illustrated guide to the diagnosis and surgical treatment of obstructive sleep apnoea Covers diagnosis, surgical prognosis, and surgical procedures Also covers anaesthesiology, complications of surgery, and possible future developments 139 full colour images and illustrations
| Author | : Nico de Vries |
| Publisher | : Thieme |
| Total Pages | : 442 |
| Release | : 2020-11-11 |
| Genre | : Medical |
| ISBN | : 3132403660 |
The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.
| Author | : Oded Nahlieli |
| Publisher | : Springer |
| Total Pages | : 208 |
| Release | : 2017-12-12 |
| Genre | : Medical |
| ISBN | : 3662545926 |
Minimally invasive techniques, designed to reduce morbidity and risk while simultaneously improving outcomes, are increasingly being used in oral and maxillofacial surgery. This book covers the most recent technological developments and the advanced techniques used when performing such minimally invasive surgery in patients with common and rare oral and maxillofacial pathologies. The relevant basic science is reviewed, but the principal focus is on the surgical techniques themselves. These are described step by step with the aid of numerous superb color illustrations that will help the clinician to gain a full understanding of the technology and the procedures. In addition, still emerging techniques of endoscopy, navigation, and minimally invasive surgery are well covered. This text will be a premier resource for physicians who diagnose and treat oral and maxillofacial pathologies and injuries.
| Author | : Pier Paolo Maria Menchetti |
| Publisher | : Springer |
| Total Pages | : 259 |
| Release | : 2015-11-02 |
| Genre | : Medical |
| ISBN | : 3319216082 |
This book details the current status of cervical MISS for expert surgeons, young surgeons or clinicians, and residents and fellows with little or no experience on this field of surgery. Because of the involvement of different and highly trained specialists from all over the world, the aim of this book is to satisfy the requirements for knowing the most advanced surgical techniques and their application. Also included are the indications and surgical techniques involving an open standard approach, giving a most exhaustive knowledge of the cervical spine surgery. Due to the difficulty of finding books with both minimal invasive cervical spine surgery and more conventional standard “open” surgery, the benefit of this book is to permit the surgeons and residents and medical doctors, to have a more complete and immediate knowledge of the topics. Due to the scientific multidisciplinary nature of the MISS, several professionals such as orthopedic surgeons, neurosurgeons, radiologists, anesthesiologists and pain management specialists, have been involved in order to create a book in which all the aspects of MISS have been treated.
