Contemporary Surgery for Obstructive Sleep Apnea Syndrome

다국어 초록 (Multilingual Abstract)

Surgical treatment of obstructive sleep apnea syndrome (OSAS) has been available in some form for greater than three
decades. Early management for airway obstruction during sleep relied on tracheotomy which although life saving was
not well accepted by patients. In the early eighties two new forms of treatment for OSAS were developed. Surgically a
technique described as a uvulopalatopharyngoplasty (UPPP) was used to treat the retropalatal region for snoring and sleep
apnea. Concurrently sleep medicine developed a nasal continuous positive airway pressure (CPAP) device to manage
nocturnal airway obstruction. Both of these measures were used to expand and stabilize the pharyngeal airway space during
sleep. The goal for each technique was to limit or alleviate OSAS. Almost 30 yr later these two treatment modalities
continue to be the mainstay of contemporary treatment. As expected, CPAP device technology improved over time along
with durable goods. Surgery followed suit and additional techniques were developed to treat soft and bony structures of
the entire upper airway (nose, palate and tongue base). This review will only focus on the contemporary surgical methods
that have demonstrated relatively consistent positive clinical outcomes. Not all surgical and medical treatment modalities
are successful or even partially successful for every patient. Advances in the treatment of OSAS are hindered by the
fact that the primary etiology is still unknown. However, both medicine and surgery continue to improve diagnostic and
treatment methods. Methods of diagnosis as well as treatment regimens should always include both medical and surgical
collaborations so the health and quality of life of our patients can best be served.

다국어 초록 (Multilingual Abstract)

Surgical treatment of obstructive sleep apnea syndrome (OSAS) has been available in some form for greater than three
decades. Early management for airway obstruction during sleep relied on tracheotomy which although life saving was
not well accepted by patients. In the early eighties two new forms of treatment for OSAS were developed. Surgically a
technique described as a uvulopalatopharyngoplasty (UPPP) was used to treat the retropalatal region for snoring and sleep
apnea. Concurrently sleep medicine developed a nasal continuous positive airway pressure (CPAP) device to manage
nocturnal airway obstruction. Both of these measures were used to expand and stabilize the pharyngeal airway space during
sleep. The goal for each technique was to limit or alleviate OSAS. Almost 30 yr later these two treatment modalities
continue to be the mainstay of contemporary treatment. As expected, CPAP device technology improved over time along
with durable goods. Surgery followed suit and additional techniques were developed to treat soft and bony structures of
the entire upper airway (nose, palate and tongue base). This review will only focus on the contemporary surgical methods
that have demonstrated relatively consistent positive clinical outcomes. Not all surgical and medical treatment modalities
are successful or even partially successful for every patient. Advances in the treatment of OSAS are hindered by the
fact that the primary etiology is still unknown. However, both medicine and surgery continue to improve diagnostic and
treatment methods. Methods of diagnosis as well as treatment regimens should always include both medical and surgical
collaborations so the health and quality of life of our patients can best be served.

참고문헌 (Reference)

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