Abstract

VALLEJO-BALEN, Andrés; ZABALA-PARRA, Sandra Irene  and  AMADO, Steve. Surgical treatment by otorhinolaryngology in obstructive sleep apnea-hypopnea syndrome (OSAHS). rev.fac.med. [online]. 2017, vol.65, suppl.1, pp.109-114. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v65n1Sup.59667.

Obstructive sleep apnea-hypopnea syndrome (OSAHS) is characterized by the partial obstruction or total collapse of the upper airway in an intermittent and repetitive manner; in this scenario, surgical management was initially regarded as an alternative for treating this pathology. Nowadays, surgery is highly recognized because it improves tolerance and adaptation to positive pressure therapy; it remains as the first line of treatment, although high rates of effectiveness are not achieved.

The first step before considering any surgical procedure is an adequate topographic diagnosis; therefore, a nasofibrolaryngoscopy should always be performed to identify the obstruction site(s). It is known that 75% of patients have obstructions at multiple levels, so correcting OSAHS by up to 95% is possible when the approach considers all the levels. Current procedures include nasal surgery, soft palate, tonsils, tongue base, hypoglossal nerve stimulator and facial skeletal procedures, as well as adjuvant procedures that include radiofrequency and palate implants.

Keywords : Sleep Apnea Syndromes; Surgical Procedures, Operative; Surgery, Oral (MeSH).

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