Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy

Section A INTRODUCTION

1. The role of the otolaryngologist and future perspectives in the treatment of snoring and obstructive sleep apnea

Section B DIAGNOSIS

2. Signs and symptoms of obstructive sleep apnea and upper airway resistance syndrome
3. Airway evaluation in obstructive sleep apnea
4. Clinical polysomnography
5. Home Sleep Testing
6. Drug-Induced Sleep Endoscopy (DISE)

Section C NON-SURGICAL TREATMENT OF OSA/HS

7. Obstructive sleep apnea: decision making and treatment algorithm
8. CPAP, APAP and BIPAP
9. Analysis of NCPAP failures
10. Oral Appliance Therapy by the Otolaryngologist

Section D SURGICAL TREATMENT OF OSA/HS

11. Rationale and indications for surgical treatment
12. The impact of surgical treatment of OSA on cardiac risk factors

Section E ANESTHESIA FOR OSA/HS

13. Perioperative monitoring in obstructive sleep apnea hypopnea syndrome
14. Perioperative and anesthesia management

Section F TREATMENT SELECTION

15. Friedman tongue position and the staging of obstructive sleep apnea/hypopnea syndrome
16. Algorithm for Surgery: Palatopharyngoplasty First and Foremost
17. Algorithm for Multilevel Treatment: Riley-Powell and Stanford Experience
18. Lingual Tonsil Grading System
19. The Effect of Oral Positioning on the Hypopharyngeal Airway
20. Algorithm for Multilevel Treatment

Section G NASAL SURGERY FOR THE TREATMENT OF OSA/HS

21. Nasal obstruction and sleep- disordered breathing
22. Minimally Invasive Nasal valve repair
23. Plastic Surgery Techniques for Correction of Nasal Valve Collapse
24. New Techniques in Nasal Valve Repair
25. Inferior Turbinate Reduction

Section H MINIMALLY INVASIVE PALATAL PROCEDURES

26. Role of Laser Surgery in Treatment of OSA
27. Cautery Assisted Palate Surgery and Anterior Palatoplasty
28. Injection snoreplasty
29. Sling Snoreplasty
30. Elevoplasty
31. Soft Palate Implants

Section I PALATAL SURGERY

32. Classic Uvulopalatopharyngoplasty
33. Uvulopalatopharyngoplasty – Patient Selection and Effects on the Airway
34. Uvulopalatopharyngoplasty – the Fairbanks technique
35. Zetapalatopharyngoplasty (ZPP)
36. The uvulopalatal flap
37. Modified uvulopalatopharyngoplasty with uvula preservation
38. Transpalatal advancement pharyngoplasty
39. Expansion sphincter pharyngoplasty
40. Lateral pharyngoplasty
41. Barbed Snore Surgery, BSS

Section J MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES

42. Fundamentals of minimally invasive radiofrequency applications in ear, nose and throat medicine
43. Radiofrequency tongue base reduction in sleep-disordered breathing
44. Endoscopic Coblator Open Tongue Base Resection for Obstructive Sleep Apnea
45. A minimally invasive technique for tongue base stabilization
46. Endoscopic coblation lingual tonsillectomy
47. Electrical Stimulation
48. Upper Airway Stimulation: Implanted Neurostimulation Device for Treatment of Obstructive Sleep Apnea
49. Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep Apnea

Section K HYPOPHARYNGEAL SURGERY

50. Multilevel pharyngeal surgeryfor obstructive sleep apnea
51. External Submucosal Glossectomy
52. Genioglossus advancement in sleep apnea surgery
53. Hyoid suspension
54. Management of the Epiglottis
55. Trans-Oral Robotic assisted Surgery (TORS) for OSA
56. Multilevel surgery with/without genioglossal advancement

Section L MAXILLOFACIAL SURGICAL TECHNIQUES

57. Maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea
58. Modified maxillomandibular advancement technique
59. Maxillary Distraction Osteogenesis with Palatal Implants for Obstructive Sleep Apnea

Section M TRACHEOSTOMY FOR OSAHS

60. Tracheostomy for sleep apnea
61. Speech-ready, long-term tube-free tracheostomy for obstructive sleep apnea

Section N POSTOPERATIVE MANAGEMENT AND COMPLICATIONS

62. The postoperative management of OSA patients after uvulopalatopharyngoplasty. Inpatient or outpatient?
63. Multi-modality management of nasopharyngeal stenosis following uvulopalatopharyngoplasty
64. Current techniques for the treatment of velopharyngeal insufficiency
65. Uvulopalatopharyngoplasty: analysis of failure
66. Salvage of failed palate procedures for sleep-disordered breathing
67. Revision uvulopalatopharyngoplasty (UPPP) by Z-palatoplasty (ZPP)

Section O PEDIATRIC OSAHS

68. Management of sleep-related breathing disorders in children
69. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea
70. Current techniques of adenoidectomy
71. Intracapsular Microdebrider-assisted and Coblation tonsillectomy
72. Laryngomalacia
73. Drug Induced Sleep Endoscopy for Children
74. Prevention and Correction of Pediatric OSA and Post-T&A Relapse: A Non-surgical Orthodontic Approach

Section P FUTURE OF OSA TREATMENT

75. Innovations in Surgical Treatment of OSA