Oral and maxillofacial treatment of obstructive sleep apnea:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia
Saunders
1995
|
| Schriftenreihe: | Oral and maxillofacial surgery clinics of North America
7,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 181 - 360 S. zahlr. Ill., graph. Darst. |
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| 650 | 4 | |a Airway Obstruction | |
| 650 | 4 | |a Maxillofacial Development | |
| 650 | 4 | |a Sleep Apnea Syndromes |x surgery | |
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Datensatz im Suchindex
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| adam_text | ORAL AND MAXILLOFACIAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA
CONTENTS
Preface xi
Peter D. Waite
Sleep and Sleep Disorders 181
G. Vernon Pegram and Ed Lucas
This article provides a brief description of the basic and applied knowl¬
edge concerning the sleep wakefulness mechanisms, as well as reviews
some of the major sleep disorders and presents current approaches to
their treatment and management.
Neuropsychiatric Aspects of Obstructive Sleep Apnea 195
Virgil Wooten and J. Catesby Ware
This article reviews the literature on obstructive sleep apnea in neurologi¬
cal and psychiatric disorders. Cognitive abnormalities associated with
sleep apnea, including those associated with driving impairment, are dis¬
cussed. The overlapping symptoms between sleep apnea and depression,
as well as causal relationships, are examined. Neurological disorders af¬
fecting upper airway coordination and patency are often associated with
sleep apnea. Developmental disorders, often with associated hypotonicity,
are also associated with sleep apnea.
Medical Considerations in Surgery for Sleep Apnea 205
David G. Davila
This article will review some of the expected cardiorespiratory changes in
normal sleep and obstructive sleep apnea (OSA) and note how they can
be affected by other coexistent medical conditions. Awareness of these
physiologic changes provides a basis for prudent perioperative care for
patients undergoing surgery for OSA, which will be outlined. Finally, the
long term cardiovascular sequelae of untreated OSA and the potential role
of upper airway surgery in altering this natural course will be briefly
examined.
ORAL AND MAXILLOFACIAL SURGERY
CLINICS OF NORTH AMERICA
VOLUME 7 • NUMBER 2 • MAY 1995 vii
Continuous and Bi Level Positive Airway Pressure Therapy in Sleep
Disordered Breathing 221
Patrick J. Strollo, Jr, Mark H. Sanders, and Ronald A. Stiller
Positive airway pressure therapy is the medical treatment of choice for the
sleep apnea hypopnea syndromes. These syndromes pressurize the upper
airway, preventing collapse and/or closure throughout the breathing cy¬
cle. When the proper prescription has been determined, snoring, oxyhemo
globin denaturation, and sleep fragmentation are adequately treated. Bi
level positive airway pressure may be useful in patients who cannot
tolerate or hypoventilate with continuous positive airway pressure ther¬
apy. Current studies indicate that compliance with positive airway pres¬
sure when objectively assessed, is less than optimal.
Management of Obstructive Sleep Apnea in Children 231
Gerald Rosen and Mark Mahowald
Obstructive sleep apnea/obstructive hypoventilation (OSA/OHV) in chil¬
dren is a complex state dependent disorder of the upper airway that is
multifactorial in origin. Adenotonsillar hypertrophy is the most common
anatomic factor contribution to the upper airway obstruction in children,
but other anatomic factors may also be important in the pathogenesis of
OSA/OHV in children. Nasal continuous positive airway pressure/bilevel
positive airway pressure is an alternative treatment when surgery is not
considered an option.
Upper Airway Resistance Syndrome 243
Christian Guilleminault, Young Do Kim, and Riccardo Stoohs
Upper airway resistance syndrome can lead to clinical complaints that
may be ignored or misdiagnosed for years. If noninvasive ways of moni¬
toring airway resistance during sleep are established, a great improvement
in diagnostic means will have been accomplished. Further studies are
needed to appreciate fully the value of dental appliances and other surgi¬
cal results.
Examination of the Upper Airway 257
B. Tucker Woodson
Obstructive sleep apnea (OSA) is associated with both abnormal size
and collapsibility of the upper airway. Although occasionally an isolated
abnormality is identified, OSA frequently involves multiple airway sites.
Clinical examination using physical exam, endoscopy, and other methods,
are directed at identifying upper airway pathology, disproportionate anat¬
omy, and level of obstruction.
Cephalometric Examination in Obstructive Sleep Apnea 269
Mark G. Hans and Jerold Goldberg
Obstructive sleep apnea has been reported to effect as many as 10% of the
adult male population over 50. Craniofacial anatomy is a recognized risk
factor in developing this disease. Cephalometric radiography has been
shown to be helpful in characterizing the caniofacial anatomy of these
patients. Using cephalometric radiography, subjects at increased risk for
developing clinical illness may be identified. In addition, as cephalometric
radiography becomes more sophisticated, this technique could be used to
determine appropriate treatment interventions for patients with OSAS. A
review of the current uses of cephalometric radiography is presented
along with a discussion of future trends in this area.
viii CONTENTS
Anesthetic Considerations for Obstructive Sleep Apnea Patients 283
Jaime Ronderos and Gwendolyn Boyd
Patients with obstructive sleep apnea (OSA) present a unique challenge to
the anesthesiologist. The OSA patient, as seen from the anesthesiologist s
perspective, presents an abundance of anatomical, physiological, and
pathological variables that may be very different from one patient to
another, and even the same patient from one time to another. The findings
of fully developed OSA include hypertension, polycythemia, pulmonary
hypertension, cor pulmonale, and blunted respiratory response to hyper
capnia. This type of patient would surely be approached with caution by
any anesthesiologist.
Uvulopalatopharyngoplasty 293
Aaron E. Sher
Uvulopalatopharyngoplasty (UPPP) represents the first surgical procedure
specifically designed to correct the disproportionate anatomy characteristic
of obstructive sleep apnea syndrome. The procedure is most effective in
the patient whose focus of pharyngeal collapse is limited to the retropalatal
region. For patients who have foci of pharyngeal collapse in both the
retropalatal and retrolingual regions, UPPP should be applied to correct
the retropalatal portion of the pharyngeal narrowing in conjunction with
surgical procedures that correct the retrolingual narrowing.
Adjunctive Surgical Procedures in Obstructive Sleep Apnea 301
Robert F. Guyette and Peter D. Waite
Maximizing surgical results in the treatment of obstructive sleep apnea
requires identification of those anatomic structures contributing to the
increased airway resistance. Once these areas are identified, surgical op¬
tions designed to improve the airway are selected. Emphasis is placed on
selecting the appropriate combination of procedures for each patient based
on the specific anatomical finding and the severity of disease.
The Role of Orthodontics in the Surgical Treatment of Obstructive
Sleep Apnea 311
David M. Sarver
This article will systematically describe the orthodontist s role in the care
of patients suffering from obstructive sleep apnea. The goals of orthodontic
treatment differ from those of orthodontic and/or orthognathic treatment
in that in the treatment of the latter, esthetic considerations are secondary
to the medical needs of the patient.
Maxillomandibular Advancement Surgery: A Cure for Obstructive
Sleep Apnea Syndrome 327
Peter D. Waite and Shashidhar M. Shettar
Obstructive sleep apnea (OSA) is a serious medical problem that manifests
its severity by multiple system disease. Maxillomandibular surgery is very
effective because it increases the upper airway at multiple levels. The
oral and maxillofacial surgeon treating OSA clearly manages a significant
medical/surgical problem and not a routine orthognathic patient.
Airway Abnormalities in Craniofacial Syndromes 337
David L. Witsell, John E. Buenting, and Amelia F. Drake
It is critical for the members of the cleft craniofacial team to be aware of
the potential airway complications that are seen in a large number of
CONTENTS ix
craniofacial patients. Modern diagnostic techniques, such as fiberoptic endoscopy, allow for exact localization of the obstruction. Then a rational
treatment plan can be designed for the specific problem(s). A Surgical Protocol for Sleep Disordered Breathing 345
Nelson B. Powell and Robert W. Riley
This article describes a treatment philosophy that was formulated for
medical and surgical management. Its goal is to treat all patients for cure
and to direct management in a logical manner by systematic evaluation
and objective studies. The clinical outcomes of this suggested protocol are
presented on a large number of patients.
Index 357
Subscription Information Inside back cover
x CONTENTS
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| spelling | Oral and maxillofacial treatment of obstructive sleep apnea Peter D. Waite, guest ed. Philadelphia Saunders 1995 X S., S. 181 - 360 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 7,2 Apnées sommeil, syndrôme - Chirurgie Airway Obstruction Maxillofacial Development Sleep Apnea Syndromes surgery Sleep physiology Therapie (DE-588)4059798-2 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf Schlafapnoe (DE-588)4137452-6 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Schlafapnoe (DE-588)4137452-6 s Therapie (DE-588)4059798-2 s DE-604 Chirurgie (DE-588)4009987-8 s Waite, Peter D. Sonstige (DE-588)142510505 oth Oral and maxillofacial surgery clinics of North America 7,2 (DE-604)BV002758944 7,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006778335&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Oral and maxillofacial treatment of obstructive sleep apnea Oral and maxillofacial surgery clinics of North America Apnées sommeil, syndrôme - Chirurgie Airway Obstruction Maxillofacial Development Sleep Apnea Syndromes surgery Sleep physiology Therapie (DE-588)4059798-2 gnd Chirurgie (DE-588)4009987-8 gnd Schlafapnoe (DE-588)4137452-6 gnd |
| subject_GND | (DE-588)4059798-2 (DE-588)4009987-8 (DE-588)4137452-6 (DE-588)4143413-4 |
| title | Oral and maxillofacial treatment of obstructive sleep apnea |
| title_auth | Oral and maxillofacial treatment of obstructive sleep apnea |
| title_exact_search | Oral and maxillofacial treatment of obstructive sleep apnea |
| title_full | Oral and maxillofacial treatment of obstructive sleep apnea Peter D. Waite, guest ed. |
| title_fullStr | Oral and maxillofacial treatment of obstructive sleep apnea Peter D. Waite, guest ed. |
| title_full_unstemmed | Oral and maxillofacial treatment of obstructive sleep apnea Peter D. Waite, guest ed. |
| title_short | Oral and maxillofacial treatment of obstructive sleep apnea |
| title_sort | oral and maxillofacial treatment of obstructive sleep apnea |
| topic | Apnées sommeil, syndrôme - Chirurgie Airway Obstruction Maxillofacial Development Sleep Apnea Syndromes surgery Sleep physiology Therapie (DE-588)4059798-2 gnd Chirurgie (DE-588)4009987-8 gnd Schlafapnoe (DE-588)4137452-6 gnd |
| topic_facet | Apnées sommeil, syndrôme - Chirurgie Airway Obstruction Maxillofacial Development Sleep Apnea Syndromes surgery Sleep physiology Therapie Chirurgie Schlafapnoe Aufsatzsammlung |
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