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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2020
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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. |
format | Online Article Text |
id | pubmed-7435433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
record_format | MEDLINE/PubMed |
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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