Surgical Treatment of Obstructive Sleep Apnea: Epiglottic Surgery

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 ep...

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Detalles Bibliográficos
Autores: Marco-garrido, A, Arroyo-domingo, M, Martinez-Alonso, JA, O'connor-Reina, C, Plaza-Mayor, G, Carrasco-Llatas, M, De Apodaca, PMR, Baptista-Jardín, P
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p18595
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/18595
Access Level:acceso abierto
Palabra clave:Epiglottis
obstructive sleep apnea
epiglottectomy
epiglottopexy
Descripción
Sumario: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 maybe 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.