Description: This compilation of the majority of surgical procedures used in otolaryngology to treat obstructive sleep apnea (OSA) is noteworthy and much appreciated. However, what is just as valued is the emphasis on the nonsurgical management of a difficult disease that is becoming more prevalent in many industrialized countries. The emphasis on the appropriate initiation of surgical treatment is valuable and one that should guide any otolaryngologist's evaluation and treatment of patients with such a multifactorial health problem.
Purpose: The purpose is to emphasize that every otolaryngologist should recognize the complicated etiology of OSA, and that surgery is a salvage attempt. This is a very worthy objective, as any surgery is not without morbidity and mortality, especially in the population on which these procedures are focused.
Audience: This book is written primarily for residents or young practitioners either in medicine or a surgical field. The procedural outlines and images make this book appropriate for sleep surgeons, and it would be appropriate for general internists to emphasize that OSA requires a multidisciplinary approach.
Features: It covers the preoperative evaluation and diagnosis of OSA and, as expected, the many surgical procedures available to the practicing sleep surgeon. Most useful are the diagrams of the more complex surgical procedures provided in a step-wise format. A few steps get combined in the diagrams, but the written description aids in discerning procedural technique. The organization is one of the book's strengths, as it focuses on the various anatomic sites of airway obstruction, but does not discount the need for multilevel surgery.
Assessment: Compared with some more of the general otolaryngology books (i.e. Head and Neck Surgery - Otolaryngology, 4th edition, Bailey et al. (Lippincott Williams & Wilkins, 2006) and Cummings Otolaryngology-Head and Neck Surgery, 4th edition, Cummings et al. (Elsevier, 2005)), this one does an excellent job of not only describing procedures but also providing appropriate diagrams to accompany them. Procedures such as implant techniques, while not necessarily highly thought of in the otolaryngologic community, are at least mentioned and presented objectively. This is a convenient source to have, as many of the commonly employed techniques are well illustrated and explained. Further detail for procedures may require looking elsewhere, but as an overview or refresher, I can see this being helpful.