Tratamiento quirúrgico de la Apnea obstructiva del sueño:

[EN]Introduction and objective: Among the possible causes of OSA, although rare, are alterations of the epiglottis. The objective of this work is to highlight its importance and insist on its active diagnosis, since in well-selected cases it can be treated surgically.Synthesis: The importance of the...

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Detalles Bibliográficos
Autores: Marco Garrido, Alfonso, Arroyo-domingo, Marta, Martínez-alonso, Jesús Aarón, O'connor-Reina, Carlos, Plaza-Mayor, Guillermo, Carrasco-Llatas, Marina, Martínez-Ruiz de Apodaca, Paula, Baptista-Jardin, Peter Michael
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/166127
Acceso en línea:http://hdl.handle.net/10366/166127
Access Level:acceso abierto
Palabra clave:Epiglottis
obstructive sleep apnea
epiglottectomy
epiglottopexy
Epiglotis
apnea obstructiva del sueño
epiglotectomía
epiglotopexia
Descripción
Sumario:[EN]Introduction and objective: Among the possible causes of OSA, although rare, are alterations of the epiglottis. The objective of this work is to highlight its importance and insist on its active diagnosis, since in well-selected cases it can be treated surgically.Synthesis: The importance of the epiglottis as a cause of OSA, its exploration and possible surgical alternatives are detailed.Conclusions: The epiglottis is an anatomical structure that generally goes unnoticed as a cause of OSA in adults and that can cause even severe OSA.It must be studied in an active way. Its involvement in OSA is likely not to be revealed during awake examination and DISE may be required to appreciate how it collapses during inspiration in the sleeping patient.Some surgical techniques are described as it is a good choice in many properly selected patients.