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Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea

There are many ways to categorize surgery for obstructive sleep apnea (OSA), one of which is to distinguish between intrapharyngeal and extrapharyngeal procedures. While the general otolaryngologist treating OSA is familiar with intrapharyngeal procedures, such as uvulopalatopharyngoplasty and tongu...

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Autores principales: Yu, Myeong Sang, Ibrahim, Badr, Riley, Robert Wayne, Liu, Stanley Yung-Chuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435433/
https://www.ncbi.nlm.nih.gov/pubmed/32683836
http://dx.doi.org/10.21053/ceo.2020.00360
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author Yu, Myeong Sang
Ibrahim, Badr
Riley, Robert Wayne
Liu, Stanley Yung-Chuan
author_facet Yu, Myeong Sang
Ibrahim, Badr
Riley, Robert Wayne
Liu, Stanley Yung-Chuan
author_sort Yu, Myeong Sang
collection PubMed
description There are many ways to categorize surgery for obstructive sleep apnea (OSA), one of which is to distinguish between intrapharyngeal and extrapharyngeal procedures. While the general otolaryngologist treating OSA is familiar with intrapharyngeal procedures, such as uvulopalatopharyngoplasty and tongue base reduction, extrapharyngeal sleep operations such as maxillomandibular advancement (MMA) and upper airway stimulation (UAS) have evolved rapidly in the recent decade and deserve a dedicated review. MMA and UAS have both shown predictable high success rates with low morbidity. Each approach has unique strengths and limitations, and for the most complex of OSA patients, the two in combination complement each other. Extrapharyngeal airway operations are critical for achieving favorable outcomes for sleep surgeons.
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spelling pubmed-74354332020-08-24 Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea Yu, Myeong Sang Ibrahim, Badr Riley, Robert Wayne Liu, Stanley Yung-Chuan Clin Exp Otorhinolaryngol Review There are many ways to categorize surgery for obstructive sleep apnea (OSA), one of which is to distinguish between intrapharyngeal and extrapharyngeal procedures. While the general otolaryngologist treating OSA is familiar with intrapharyngeal procedures, such as uvulopalatopharyngoplasty and tongue base reduction, extrapharyngeal sleep operations such as maxillomandibular advancement (MMA) and upper airway stimulation (UAS) have evolved rapidly in the recent decade and deserve a dedicated review. MMA and UAS have both shown predictable high success rates with low morbidity. Each approach has unique strengths and limitations, and for the most complex of OSA patients, the two in combination complement each other. Extrapharyngeal airway operations are critical for achieving favorable outcomes for sleep surgeons. Korean Society of Otorhinolaryngology-Head and Neck Surgery 2020-08 2020-07-21 /pmc/articles/PMC7435433/ /pubmed/32683836 http://dx.doi.org/10.21053/ceo.2020.00360 Text en Copyright © 2020 by Korean Society of Otorhinolaryngology-Head and Neck Surgery This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Yu, Myeong Sang
Ibrahim, Badr
Riley, Robert Wayne
Liu, Stanley Yung-Chuan
Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title_full Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title_fullStr Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title_full_unstemmed Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title_short Maxillomandibular Advancement and Upper Airway Stimulation: Extrapharyngeal Surgery for Obstructive Sleep Apnea
title_sort maxillomandibular advancement and upper airway stimulation: extrapharyngeal surgery for obstructive sleep apnea
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435433/
https://www.ncbi.nlm.nih.gov/pubmed/32683836
http://dx.doi.org/10.21053/ceo.2020.00360
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