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Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature

Background: Obstructive sleep apnea syndrome (OSAS) occurs due to upper airway obstruction resulting from anatomical and functional abnormalities. Upper airway collapsibility, particularly those involving the lateral pharyngeal wall (LPW), is known to be one of the main factors contributing to the p...

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Autores principales: Cammaroto, Giovanni, Stringa, Luigi Marco, Iannella, Giannicola, Meccariello, Giuseppe, Zhang, Henry, Bahgat, Ahmed Yassin, Calvo-Henriquez, Christian, Chiesa-Estomba, Carlos, Lechien, Jerome R., Barillari, Maria Rosaria, Galletti, Bruno, Galletti, Francesco, Freni, Francesco, Galletti, Cosimo, Vicini, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432019/
https://www.ncbi.nlm.nih.gov/pubmed/32718065
http://dx.doi.org/10.3390/ijerph17155315
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author Cammaroto, Giovanni
Stringa, Luigi Marco
Iannella, Giannicola
Meccariello, Giuseppe
Zhang, Henry
Bahgat, Ahmed Yassin
Calvo-Henriquez, Christian
Chiesa-Estomba, Carlos
Lechien, Jerome R.
Barillari, Maria Rosaria
Galletti, Bruno
Galletti, Francesco
Freni, Francesco
Galletti, Cosimo
Vicini, Claudio
author_facet Cammaroto, Giovanni
Stringa, Luigi Marco
Iannella, Giannicola
Meccariello, Giuseppe
Zhang, Henry
Bahgat, Ahmed Yassin
Calvo-Henriquez, Christian
Chiesa-Estomba, Carlos
Lechien, Jerome R.
Barillari, Maria Rosaria
Galletti, Bruno
Galletti, Francesco
Freni, Francesco
Galletti, Cosimo
Vicini, Claudio
author_sort Cammaroto, Giovanni
collection PubMed
description Background: Obstructive sleep apnea syndrome (OSAS) occurs due to upper airway obstruction resulting from anatomical and functional abnormalities. Upper airway collapsibility, particularly those involving the lateral pharyngeal wall (LPW), is known to be one of the main factors contributing to the pathogenesis of OSAS, leading the authors of the present study to propose different strategies in order to stiffen the pharyngeal walls to try to restore normal airflow. Methods: An exhaustive review of the English literature on lateral pharyngeal wall surgery for the treatment of OSAS was performed using the PubMed electronic database. Results: The research was performed in April 2020 and yielded approximately 2000 articles. However, considering the inclusion criteria, only 17 studies were included in the present study. Conclusions: The analyzed surgical techniques propose different parts of LPW on which to focus and a variable degree of invasivity. Despite the very promising results, no gold standard for the treatment of pharyngeal wall collapsibility has been proposed. However, thanks to progressive technological innovations and increasingly precise data analysis, the role of LPW surgery seems to be crucial in the treatment of OSAS patients.
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spelling pubmed-74320192020-08-24 Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature Cammaroto, Giovanni Stringa, Luigi Marco Iannella, Giannicola Meccariello, Giuseppe Zhang, Henry Bahgat, Ahmed Yassin Calvo-Henriquez, Christian Chiesa-Estomba, Carlos Lechien, Jerome R. Barillari, Maria Rosaria Galletti, Bruno Galletti, Francesco Freni, Francesco Galletti, Cosimo Vicini, Claudio Int J Environ Res Public Health Review Background: Obstructive sleep apnea syndrome (OSAS) occurs due to upper airway obstruction resulting from anatomical and functional abnormalities. Upper airway collapsibility, particularly those involving the lateral pharyngeal wall (LPW), is known to be one of the main factors contributing to the pathogenesis of OSAS, leading the authors of the present study to propose different strategies in order to stiffen the pharyngeal walls to try to restore normal airflow. Methods: An exhaustive review of the English literature on lateral pharyngeal wall surgery for the treatment of OSAS was performed using the PubMed electronic database. Results: The research was performed in April 2020 and yielded approximately 2000 articles. However, considering the inclusion criteria, only 17 studies were included in the present study. Conclusions: The analyzed surgical techniques propose different parts of LPW on which to focus and a variable degree of invasivity. Despite the very promising results, no gold standard for the treatment of pharyngeal wall collapsibility has been proposed. However, thanks to progressive technological innovations and increasingly precise data analysis, the role of LPW surgery seems to be crucial in the treatment of OSAS patients. MDPI 2020-07-23 2020-08 /pmc/articles/PMC7432019/ /pubmed/32718065 http://dx.doi.org/10.3390/ijerph17155315 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Cammaroto, Giovanni
Stringa, Luigi Marco
Iannella, Giannicola
Meccariello, Giuseppe
Zhang, Henry
Bahgat, Ahmed Yassin
Calvo-Henriquez, Christian
Chiesa-Estomba, Carlos
Lechien, Jerome R.
Barillari, Maria Rosaria
Galletti, Bruno
Galletti, Francesco
Freni, Francesco
Galletti, Cosimo
Vicini, Claudio
Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title_full Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title_fullStr Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title_full_unstemmed Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title_short Manipulation of Lateral Pharyngeal Wall Muscles in Sleep Surgery: A Review of the Literature
title_sort manipulation of lateral pharyngeal wall muscles in sleep surgery: a review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432019/
https://www.ncbi.nlm.nih.gov/pubmed/32718065
http://dx.doi.org/10.3390/ijerph17155315
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