Snoring and Obstructive Sleep Apnea / Edition 3

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Overview

Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders.

Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.

Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.

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Editorial Reviews

Doody's Review Service
Reviewer: Robert Craig Kern, MD (Northwestern University Feinberg School of Medicine)
Description: In this third edition, all the major medical and surgical treatments options for snoring and obstructive sleep apnea are discussed by individuals with established expertise in these areas. This book is a valuable addition to the library of any practitioner of sleep medicine or sleep surgery.
Purpose: The purpose of the book is to provide an overview of the treatment of sleep disordered breathing for the otolaryngologist with sufficient references for more in-depth study if desired. A new edition was clearly necessary given the changes in the treatment of these problems over the last few years. As a result, the book fills a significant void in the field.
Audience: The book is designed for otolaryngologists, but overall, the work is applicable for any specialist involved in the care of OSAS patients. The authors have demonstrated credibility in the field.
Features: The book provides a comprehensive overview of the current surgical management of sleep disordered breathing. The book also discusses pathophysiology and evaluation of sleep apnea as well as the nonsurgical treatments of the condition, but in far less detail.
Assessment: This book is probably the best comprehensive textbook for the surgical management of OSAS (obstructive sleep apnea syndrome) currently available. The new edition is clearly justified given the recent changes in the field.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780781740791
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 11/28/2002
  • Edition description: Third Edition
  • Edition number: 3
  • Pages: 225
  • Product dimensions: 7.10 (w) x 10.20 (h) x 0.70 (d)

Table of Contents

Contributing Authors
Preface
Definitions, Abbreviations, and Acronyms
1 Snoring: A General Overview with Historical Perspectives 1
2 Pathophysiology of Snoring and Obstructive Sleep Apnea: Airway Dynamics 19
3 Cardiovascular, Pulmonary, and Neurological Consequences of Sleep-Disordered Breathing 25
4 Obstructive Sleep Apnea: Evaluation by History and Polysomnography 39
5 Obstructive Sleep Apnea: Evaluation by Physical Examination and Special Studies 51
6 Disorders of Excessive Sleepiness 69
7 Drugs, Devices, and Oral Appliances for Snoring and Obstructive Sleep Apnea 79
8 Positive Airway Pressure for Obstructive Sleep Apnea 95
9 Uvulopalatopharyngoplasty (UPPP)
9.1 Uvulopalatopharyngoplasty: Techniques, Pitfalls, and Risk Management 107
9.2 Clinical Staging: A Guide to Patient Selection 120
10 Upper Pharyngeal Airway Surgery: Uvula and Palate
10.1 How Much Palate to Resect 129
10.2 Cold Surgical Instrument Uvulectomy and Uvulopalatoplasty 131
10.3 Electrocautery for Uvulopalatoplasty 136
10.4 Cautery-Assisted Palatal Stiffening Operation 139
10.5 The Uvulopalatal Flap 142
10.6 Laser-Assisted Uvulopalatoplasty 144
10.7 Radiofrequency Ablation 150
10.8 Injection Snoreplasty 156
10.9 Transpalatal Advancement Pharyngoplasty 160
11 Lower Pharyngeal Airway Surgery
11.1 Radiofrequency Tissue-Volume Reduction of the Tongue 167
11.2 Genioglossus Advancement 171
11.3 Hyoid Suspension/Advancement 178
11.4 Maxillomandibular Advancement 182
11.5 Transoral Midline Glossectomy and Lingualplasty 189
11.6 Tongue Base Reduction with Hyoepiglottoplasty for Severe Obstructive Sleep Apnea 194
12 The Nose and Its Impact on Snoring and Obstructive Sleep Apnea 199
13 Tracheostomy for Obstructive Sleep Apnea 211
14 Perioperative and Anesthesia Management in Obstructive Sleep Apnea Surgery 223
15 Obesity Management for Obstructive Sleep Apnea 233
16 Snoring and Obstructive Sleep Apnea in Children 241
17 Patient Selection and Treatment Decisions 255
Index 261
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