Surgery for Sleep Disordered Breathing


Book Description

Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our expe- ence and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care. Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.




Operative Otolaryngology: Head and Neck Surgery E-Book


Book Description

This brand-new edition, in a completely updated 2-volume set, places the full-range of operative otolaryngologic procedures at your disposal—from discussions on why a procedure should be performed to the latest surgical techniques to post-operative management and outcomes. Dr. Eugene Myers along with his esteemed, expert contributors bring you the absolute latest in the field, with thirty new chapters and expanded coverage on face lift, blepharoplasty, the ethmoid sinus, frontal sinus, and orbital surgery, to help you face even your toughest challenges. What’s more, a new full-color design, including more than 1,300 new full-color drawings and photographs and 90 minutes of surgical video clips, available online provide you with superb visual guidance. And, as an Expert Consult title, this thoroughly updated 2nd edition comes with access to the complete contents online, fully searchable—enabling you to consult it rapidly from any computer with an Internet connection. Aids in the evaluation and management of a complete spectrum of head and neck problems. Offers pearls and pitfalls at the end of each chapter to help you avoid complications. Uses a logical consistent layout from chapter to chapter, to include patient selection, pre-operative planning, surgical technique, and post-operative management. Provides online access to fully searchable text and step-by-step surgical video clips, enabling you to consult it rapidly from any computer with an Internet connection and provide you with superb visual guidance. Presents several new associate editors, giving you fresh perspectives in a growing field. Offers the expertise of otolaryngologists, plastic surgeons, oral and maxillofacial surgeons, neurological surgeons, and ophthalmologists, who provide unsurpassed multidisciplinary coverage on everything from pre-operative diagnosis and evaluation...through step-by-step descriptions of surgical techniques...to post-operative management. Features 30 new chapters, including Office-Based Evaluation and Treatment, many new chapters on endoscopic approaches and management of complications, and eight new chapters on laryngology, as well as expanded coverage of face lift, blepharoplasty, the ethmoid sinus, frontal sinus, and orbital surgery to keep you ahead of the curve. Covers the newest techniques, such as transnasal endoscopic sinus surgery, endonasal endoscopic management of tumors at the base of the skull using the two-team approach, the use of Botox injections for various conditions of the larynx, and endoscopic surgery of the thyroid and parathyroid glands to help you enhance your clinical skills. Includes completely reorganized chapters that feature “complications headings and bulleted lists of pearls and pitfalls for ease of reference and to help you avoid mistakes. Uses a new full-color design with 1,300 new full-color illustrations for easy reference.







Orthodontics in Obstructive Sleep Apnea Patients


Book Description

This well-illustrated book is an up-to-date guide to orthodontic diagnosis, treatment planning, and treatment delivery in patients with obstructive sleep apnea (OSA). The aim is to present the latest knowledge on the important contribution that orthodontic modalities can now make in the management of a disorder that has generally been the preserve of sleep doctors. This book comprises three parts of general understanding of OSA and medical approaches, orthodontic diagnostic process, and orthodontic treatment application. In particular, the treatment parts are subdivided into six chapters depending on the patient’s phenotype and age groups. The readers will come to realize how many modalities are available beyond the previously well-known options, and how important orthodontic contributions are for the treatment of OSA patients. The book will be an excellent resource providing well-organized diagnostic and therapeutic protocols from orthodontic point of view and will also be of value to other practitioners with an interest in OSA.




Core Topics in Airway Management


Book Description

This book provides an easy-to-read introduction to this important topic that will be of value to a wide spectrum of healthcare professionals including anaesthetists, intensivists, ODPs, theatre and recovery nurses. Concise but comprehensive chapters from experts in the field cover everything from basic anatomy, physiology and applied physics, through the various methods of maintaining the airway under anaesthesia (supraglottic devices, tracheal intubation, tubes/cuffs, endobronchial and double-lumen tubes) to the problem airway (obstruction by infection, tumour or a foreign body, ENT and maxillo-facial surgery, aspiration, obstetrics, trauma, cervical spine disease, intensive care, the 'lost' airway, extubation and recovery), the paediatric airway, disinfection and cleaning of equipment and finally morbidity, mortality and medico-legal issues. 'Real' clinical scenarios, with patient management questions and model answers, are included throughout, to bring to life some of the key problems encountered in day-to-day practice and enhance the book's utility as a teaching and self-learning tool.




Nursing Care in Pediatric Respiratory Disease


Book Description

Pediatric respiratory disorders are responsible for a number of acute and chronic health conditions and are a leading cause of pediatric emergency room visits and hospitalizations. More than ever, nurses and nurse practitioners must have an understanding of the anatomy, pathophysiology, diagnosis and state of the art treatments in pediatric respiratory disease as they are often the first to come in contact with and recognize respiratory problems in children. Nursing Care in Pediatric Respiratory Disease seeks to provide both nurses and nurse practitioners with this information in order to aid them in the diagnosis and treatment of children suffering from acute and chronic respiratory disorders. Nursing Care in Pediatric Respiratory Disease opens with an overview of the anatomy and physiology of the respiratory system, best practices for assessing respiratory symptoms in children, and common respiratory therapies and treatment methods. It then proceeds through an examination of varying acute and chronic upper and lower respiratory diseases spanning from asthma and cystic fibrosis to vocal cord paralysis and sinusitis in both hospital and ambulatory settings. Nursing Care in Pediatric Respiratory Disease provides nurses and other health care providers with a comprehensive and practical resource which allows them to collaborate and advocate more effectively, as well as educate both the family and child in management of respiratory disorders.




Therapy in Sleep Medicine E-Book


Book Description

Therapy in Sleep Medicine, by Drs. Teri J. Barkoukis, Jean K. Matheson, Richard Ferber, and Karl Doghrami, provides the clinically focused coverage you need for rapid diagnosis and effective treatment of sleep disorders. A multidisciplinary team of leading authorities presents the latest on sleep breathing disorders (including obstructive sleep apnea), neuropharmacology, parasomnias, neurologic disorders affecting sleep, sleep therapy for women, sleep therapy in geriatric patients, controversies, and future trends in therapy in a highly illustrated, easy-to-follow format. Diagnose and treat patients effectively with complete coverage of the full range of sleep disorders. Find diagnostic and treatment information quickly and easily thanks to a highly illustrated, easy-to-read format that highlights key details. Stay current on discussions of hot topics, including sleep breathing disorders (including obstructive sleep apnea), neuropharmacology, parasomnias, neurologic disorders affecting sleep, sleep therapy for women, sleep therapy in geriatric patients, controversies, and future trends in therapy. Tap into the expertise of a multidisciplinary team of leading authorities for well-rounded, trusted guidance.




Contemporary Oral Medicine


Book Description

This book, written by world authorities in the field, is a comprehensive, up-to-date guide to the specialty of Oral Medicine, which is concerned with the diagnosis, prevention, and predominantly non-surgical management of medically related disorders and conditions affecting the oral and maxillofacial region. The pathophysiology, clinical presentation, diagnostic evaluation, and treatment of all relevant diseases and disorders are described with the aid of a wealth of clinical cases and illustrations that enable the reader to appreciate the diversity and potential complexity of Oral Medicine. In addition to the wide-ranging coverage of oral conditions, separate sections are devoted to bone and cutaneous pathology and to orofacial pain and its management, in addition to dental sleep medicine. The clinician who treats Oral Medicine patients will find this book to be an excellent aid to optimal management grounded in a sound knowledge of basic science and the dental and medical aspects of each disorder. In addition, it will serve as an outstanding textbook for undergraduate and postgraduate students.




Sleep Apnea and Snoring


Book Description

Finally, a multi-disciplinary approach that covers both the surgical and non-surgical interventions for sleep apnea and snoring. From the editor of Operative Techniques in Otolaryngology, this new reference will quickly become the standard in surgery for this key area within otolaryngology. ., Full-color line drawings illustrate key concepts and create a comprehensive way of learning surgical techniques. Provides consistent, templated chapters and a contemporary, full-color format for quick, easy access to the most up-to-date surgical and non surgical interventions for sleep apnea and snoring. Includes contributions from leaders in neurology, pulmonology, psychiatry, otolaryngology, and oral & maxillofacial surgery. to create a truly multi-disciplinary approach. Covers new and innovative procedures including ZPP (Zeta palatopharyngoplasty), Transpalatal Advancement Pharyngoplasty and Minimally invasive submucosal glossectomy Details when and why surgery is necessary, and how to perform a successful operation for snoring and sleep apnea.




Management of Obstructive Sleep Apnea


Book Description

This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.​​