Surgical treatment of obstructive sleep apnea: palate surgery
Introduction: Upper airway (UA) surgery is a therapeutic option for patients with sleep- disordered breathing (SDB), which is based on modifying the anatomy of the UA to improve airflow and reduce apneas and hypopneas. Objective: To review the latest pharyngoplasty procedures published in the litera...
| Autores: | , , , , , , |
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| 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:p18596 |
| Acceso en línea: | https://fisabio.portalinvestigacion.com/publicaciones/18596 |
| Access Level: | acceso abierto |
| Palabra clave: | sleep apnea pharyngoplasty barbed suture sleep disordered breathing sleep surgery |
| Sumario: | Introduction: Upper airway (UA) surgery is a therapeutic option for patients with sleep- disordered breathing (SDB), which is based on modifying the anatomy of the UA to improve airflow and reduce apneas and hypopneas. Objective: To review the latest pharyngoplasty procedures published in the literature, which are characterized by being functional techniques without tissue resection. Synthesis: The advances that have marked a change in UA surgery in the last two decades are described, such as the use of drug-induced sleep endoscopy (DISE) to assess the anatomy of the UA of the sleeping patient, and the interest of otolaryngologists in acquiring training in sleep medicine. The main pharyngoplasty techniques are presented, such as lateral pharyngeal expansion (LPE), soft palate suspension (SPS), hyoid muscle suspension (HMS) and genioglossus muscle suspension (GMS). Conclusions: UA surgery has evolved towards less invasive and more personalized procedures, which adapt to the anatomical and functional characteristics of each patient. Pharyngoplasty is an effective and safe technique to improve the quality of life and sleep of patients with SDB. |
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