Surgical Therapy for Obstructive Sleep Apnea Syndrome

ABSTRACT

Despite advances in positive pressure therapy for obstructive sleep apnea, compliance continues to be a problem for many patients. Sleep apnea surgery is a viable option for patients who are intolerant of positive pressure therapy. This review presents the current state of the art in sleep apnea surgery, including airway evaluation with fiberoptic nasopharyngoscopy and lateral cephalometric radiography, formulation of a surgical plan with selection of procedures to address specific sites of obstruction, as well as discussion of published surgical outcomes.

KEYWORDS

Obstructive sleep apnea - sleep apnea surgery - uvulopalatopharyngoplasty - uvulopalatal flap - maxillomandibular advancement - genioglossus advancement - hyoid advancement - radiofrequency - somnoplasty

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