Authors
Apostolidi K.G., Savchuk О.V., Zolotukhin S.Y., Dobrikov E.A.
Pirogov National Medical and Surgical Center, Moscow
Abstract
Obstructive sleep apnea syndrome (OSAS) is an important pathology where the involvement of an otorhinolaryngologist is essential. Additional examinations in OSAS allow assessing the level, shape and degree of obstruction of the soft tissues of the upper respiratory tract (URT), which influence the choice of treatment tactics. The literature review describes new diagnostic techniques to optimize treatment tactics in this category of patients. The low efficiency of surgical treatment at the oropharyngeal level is shown. A multilevel approach to OSAS surgery is optimal.
Keywords: obstructive sleep apnea syndrome (OSA), upper respiratory endoscopy, slip endoscopy, surgical treatment of OSA.
References
1. Friedman M. Sleep apnea and snoring: surgical and non-surgical. USA, Elsevier; 2019. eBook ISBN: 9780323461375.
2. Buzunov RV, Legejda IV, Careva EV. Hrap i sindrom obstruktivnogo apnoe sna u vzroslyh i detej. Prakticheskoe rukovodstvo dlya vrachej. Moscow; 2017. (In Russ).
3. Kryukov AI, editor. Diagnostika i lechenie sindroma obstruktivnogo apnoe vo sne. Metodicheskie rekomendacii. Moscow; 2010. 31 s. (In Russ).
4. Kaliadzich Zh, Semenik T, Furmanchuk D, et al. The efficiencyof modern techniques of obstructive sleep apnea central mechanisms assessment. Otorhinolaryngology. Eastern Europe. 2014; 3: 66–72. (In Russ).
5. Kolyadich Zh, Kalinkin AL. Obstructive sleep apnea syndrome: a view of an otolaryngologist and asomnologist. Therapy. 2016; 1: 42–50. (In Russ).
6. Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope. 1999; 109(12): 1901–7. doi: 10.1097/00005537-199912000-00002.
7. Pang KP, Rotenberg BW, Woodson BT, editors. Advanced surgical techniques in snoring and obstructive sleep apnea. San Diego, California: Plural Publishing, Inc.; 2013. 368 p.
8. Dzhafarova MZ, Averbuh VM, Kuznecov AO, et al. Issledovanie verhnih dyhatel’nyh putej vo vremya medikamentoznogo sna. Rossijskaya rinologiya. 2018; 3: 30–36. (In Russ).
9. Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci. 1991; 16(5): 504–509. doi: 10.1111/j.1365-2273.1991.tb01050.x.
10. Boot H, van Wegen R, Poublon RM, et al. Long-term results of uvulopalatopharyngoplasty for obstructive sleep apnea syndrome. Laryngoscope. 2000; 110(3 Pt 1): 469–75. doi: 10.1097/00005537-200003000-00027.
11. Komarov MV, Potapova PD. Diagnostics and treatment of obstructive obstructive sleep apnea syndrome in otorhinolaryngology. Medicinskoe obozrenie. 2019; 2: 59–62. (In Russ).
12. International Classification of Sleep Disorders, third edition. 2014. (In Russ).
