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Snoring and Obstructive Sleep Apnea, Surgery: Multimedia

Author: Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENT Care Associates
Coauthor(s): Charles E Morgan, DMD, MD, Assistant Professor, Department of Surgery, Division of Otolaryngology, University of Alabama at Birmingham
Contributor Information and Disclosures

Updated: Sep 25, 2009

Multimedia

Uvulopalatopharyngoplasty.Media file 1: Uvulopalatopharyngoplasty.
Uvulopalatopharyngoplasty.

Uvulopalatopharyngoplasty.

Hyoid suspension for obstructive sleep apnea. The...Media file 2: Hyoid suspension for obstructive sleep apnea. The infrahyoid muscles are detached from the body of the hyoid bone using electrocautery. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Krespi YP and Kacker A, Hyoid suspension for obstructive sleep apnea, p144-149, copyright 2002 with permission from Elsevier.
Hyoid suspension for obstructive sleep apnea. The...

Hyoid suspension for obstructive sleep apnea. The infrahyoid muscles are detached from the body of the hyoid bone using electrocautery. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Krespi YP and Kacker A, Hyoid suspension for obstructive sleep apnea, p144-149, copyright 2002 with permission from Elsevier.

Hyoid suspension for obstructive sleep apnea. The...Media file 3: Hyoid suspension for obstructive sleep apnea. The hyoid is divided in the midline, and the loop suture is passed around the hyoid. The loop suture is suspended to the mandible, thereby suspending the tongue base anterosuperiorly. This enhances the posterior air space. A variation of this procedure is the hyoid advancement, whereby the hyoid is advanced, with several sutures (ie, 2-0 Ethibond) anteriorly and inferiorly over the thyroid lamina. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Krespi YP and Kacker A, Hyoid suspension for obstructive sleep apnea, p144-149, copyright 2002 with permission from Elsevier.
Hyoid suspension for obstructive sleep apnea. The...

Hyoid suspension for obstructive sleep apnea. The hyoid is divided in the midline, and the loop suture is passed around the hyoid. The loop suture is suspended to the mandible, thereby suspending the tongue base anterosuperiorly. This enhances the posterior air space. A variation of this procedure is the hyoid advancement, whereby the hyoid is advanced, with several sutures (ie, 2-0 Ethibond) anteriorly and inferiorly over the thyroid lamina. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Krespi YP and Kacker A, Hyoid suspension for obstructive sleep apnea, p144-149, copyright 2002 with permission from Elsevier.

Maxillary-mandibular advancement in obstructive s...Media file 4: Maxillary-mandibular advancement in obstructive sleep apnea. Final appearance of the advancement with rigid fixation. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Hester JE, Powell NB, Riley RW, and Li KK, Maxillary-mandibular advancement in obstructive sleep apnea, p135-137, copyright 2002 with permission from Elsevier.
Maxillary-mandibular advancement in obstructive s...

Maxillary-mandibular advancement in obstructive sleep apnea. Final appearance of the advancement with rigid fixation. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Hester JE, Powell NB, Riley RW, and Li KK, Maxillary-mandibular advancement in obstructive sleep apnea, p135-137, copyright 2002 with permission from Elsevier.

Bipolar radiofrequency cold ablation turbinate re...Media file 5: Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy. Depiction of linear passage of the coblation wand. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Bhattacharyya N and Kepnes LJ, Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy, p170-174, copyright 2002 with permission from Elsevier.
Bipolar radiofrequency cold ablation turbinate re...

Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy. Depiction of linear passage of the coblation wand. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Bhattacharyya N and Kepnes LJ, Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy, p170-174, copyright 2002 with permission from Elsevier.

Bipolar radiofrequency cold ablation turbinate re...Media file 6: Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy. Anterior rhinoscopic view of the coblation wand as it enters the anterior head of the right inferior turbinate. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Bhattacharyya N and Kepnes LJ, Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy, p170-174, copyright 2002 with permission from Elsevier.
Bipolar radiofrequency cold ablation turbinate re...

Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy. Anterior rhinoscopic view of the coblation wand as it enters the anterior head of the right inferior turbinate. Reprinted from Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 13(2). Bhattacharyya N and Kepnes LJ, Bipolar radiofrequency cold ablation turbinate reduction for obstructive inferior turbinate hypertrophy, p170-174, copyright 2002 with permission from Elsevier.

More on Snoring and Obstructive Sleep Apnea, Surgery

Overview: Snoring and Obstructive Sleep Apnea, Surgery
Workup: Snoring and Obstructive Sleep Apnea, Surgery
Treatment: Snoring and Obstructive Sleep Apnea, Surgery
Follow-up: Snoring and Obstructive Sleep Apnea, Surgery
Multimedia: Snoring and Obstructive Sleep Apnea, Surgery
References
Further Reading

References

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  12. Nordgard S, Stene BK, Skostad KW. Palatal implants for the treatment of snoring: Long term results. Otolaryngology-Head and Neck Surgery. 2006;134:558-564.

  13. Spiegel JH, Raval TH. Overnight Hospital Stay is not Always Necessary after Uvulopalatopharyngoplasty. Laryngoscope. 2005;115:167-171.

  14. Andsberg U, Jessen M. Eight years of follow-up--uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnoea syndrome. Acta Otolaryngol Suppl. 2000;543:175-8. [Medline].

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Further Reading

Clinical guidelines

University of Texas, School of Nursing, Family Nurse Practitioner Program. Screening for obstructive sleep apnea in the primary care setting. Austin (TX): University of Texas, School of Nursing; 2006 May. 13 p.

Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of obstructive sleep apnea in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jun. 55 p.

Scottish Intercollegiate Guidelines Network (SIGN). Management of obstructive sleep apnoea/hypopnoea syndrome in adults. A national clinical guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network (SIGN); 2003 Jun. 35 p.

Keywords

snoring and obstructive sleep apnea, obstructive sleep apnea, snoring, surgery for obstructive sleep apnea, OSA, surgery for sleep-disordered breathing, obstructive apnea, peripheral apnea, sleep apnea, sleep-induced apnea, Ondine curse, Ondine's curse, frequent awakening, daytime sleepiness, sleep disorder, apnea index, respiratory disturbance index, RDI, uvulectomy, nasal reconstruction, adenotonsillectomy, palatal implants, uvulopalatopharyngoplasty, UPPP, UP3, genioglossal advancement with hyoid myotomy, maxillary-mandibular advancement, bimaxillary advancement, palatal advancement, tongue-base surgery, midline glossectomy, tracheostomy, continuous positive airway pressure, CPAP, bilevel positive airway pressure, Bi-PAP, Pillar system, Pillar procedure, transpalatal advancement pharyngoplasty, thyrohyoid suspension, radiofrequency ablation, tracheotomy

Contributor Information and Disclosures

Author

Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENT Care Associates
Jonathan P Lindman, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, Phi Beta Kappa, and Triological Society
Disclosure: Nothing to disclose.

Coauthor(s)

Charles E Morgan, DMD, MD, Assistant Professor, Department of Surgery, Division of Otolaryngology, University of Alabama at Birmingham
Charles E Morgan, DMD, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

Hassan H Ramadan, MD, MSc, Professor and Vice-Chair, Department of Otolaryngology-Head and Neck Surgery, Professor, Department of Pediatrics, West Virginia University
Hassan H Ramadan, MD, MSc is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Rhinologic Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Robert M Kellman, MD, Professor and Chair, Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University
Robert M Kellman, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Rhinologic Society, American Society for Head and Neck Surgery, Medical Society of the State of New York, and Triological Society
Disclosure: GE Healthcare Honoraria Review panel membership

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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