Surgical management of OSA in adults

David F. Smith, Aliza P. Cohen, Stacey L. Ishman

Research output: Contribution to journalArticle

Abstract

OSA is a common, often chronic, condition requiring long-term therapy. Given the prevalence of OSA, as well as its significant health-related sequelae, a range of medical and surgical treatments have been developed and used with varying success depending on individual anatomy and patient compliance. Although CPAP is the primary treatment, many patients cannot tolerate this treatment and require alternative therapies. In this clinical scenario, surgery is often warranted and useful. Surgical management is aimed at addressing obstruction in the nasal, retropalatal, and retroglossal/hypopharyngeal regions, and many patients have multiple levels of obstruction. This review presents a comprehensive overview of research findings on a wide spectrum of surgical approaches currently used by sleep clinicians when other therapeutic modalities fail to achieve positive outcomes.

Original languageEnglish (US)
Pages (from-to)1681-1690
Number of pages10
JournalCHEST
Volume147
Issue number6
DOIs
StatePublished - Jun 1 2015

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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    Smith, D. F., Cohen, A. P., & Ishman, S. L. (2015). Surgical management of OSA in adults. CHEST, 147(6), 1681-1690. https://doi.org/10.1378/chest.14-2078