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Titolo:
CRITICAL ANALYSIS OF THE RESULTS OF SURGERY IN THE TREATMENT OF SNORING, UPPER AIRWAY-RESISTANCE SYNDROME (UARS), AND OBSTRUCTIVE SLEEP-APNEA (OSA)
Autore:
PEPIN JL; VEALE D; MAYER P; BETTEGA G; WUYAM B; LEVY P;
Indirizzi:
CHU GRENOBLE,DEPT PNEUMOL,UNITE SOMMEIL & RESPIRAT,BP 217 X F-38043 GRENOBLE FRANCE UNIV HOSP,DEPT RESP MED GRENOBLE FRANCE UNIV HOSP,SLEEP LAB GRENOBLE FRANCE HOP HOTEL DIEU,SLEEP LAB MONTREAL PQ CANADA UNIV HOSP,DEPT MAXILLOFACIAL SURG GRENOBLE FRANCE UNIV HOSP,PRETA LAB GRENOBLE FRANCE
Titolo Testata:
Sleep
fascicolo: 9, volume: 19, anno: 1996, supplemento:, S
pagine: 90 - 100
SICI:
0161-8105(1996)19:9<90:CAOTRO>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXCESSIVE DAYTIME SLEEPINESS; SURGICAL-TREATMENT; NASAL CPAP; FOLLOW-UP; MAXILLOMANDIBULAR ADVANCEMENT; POSTOPERATIVE EVALUATION; NONAPNEIC SNORERS; PREDICTIVE VALUE; MULLER MANEUVER; OBESE PATIENTS;
Keywords:
SURGERY; SNORING; OBSTRUCTIVE SLEEP APNEA; UPPER AIRWAY RESISTANCE SYNDROME; METAANALYSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
92
Recensione:
Indirizzi per estratti:
Citazione:
J.L. Pepin et al., "CRITICAL ANALYSIS OF THE RESULTS OF SURGERY IN THE TREATMENT OF SNORING, UPPER AIRWAY-RESISTANCE SYNDROME (UARS), AND OBSTRUCTIVE SLEEP-APNEA (OSA)", Sleep, 19(9), 1996, pp. 90-100

Abstract

Surgery is widely considered to be the first-line therapy for ''simple'' snoring and moderate sleep apnea syndrome. Surgical treatment of severe obstructive sleep apnea (OSA) is currently generally considered to be second-line therapy after continuous positive airway pressure (CPAP) treatment. Many patients, however, find difficulty in complying with the continued long-term demands of CPAP treatment and seek a more definitive one-off solution to their sleep-related problem. Surgical therapy has been found useful for snoring, at least on subjective (UARS) and possibly OSA. In this paper the surgical procedures of uvulopalatopharyngoplasty (UPPP), nasal surgery, and maxillofacial surgery are discussed and analyzed as they relate to the resolution of snoring, UARS, and OSA. There are many methodological problems in the published literature that make this analysis difficult. We feel that surgical therapy should be comparable to CPAP therapy, fulfilling the same analytical criteria in regard to measurement of severity and improvement of the disorder, as well as an equally sustained effect. Operative risk and side effects need to be clearly stated. Guidelines for future data collection and clinical trials of surgical procedures are proposed, andwe recommend randomized prospective multicenter protocols and a registry of patients undergoing surgery for OSA so that long-term follow-upcan be achieved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 03:39:29