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Review
. 2016 Feb;8(2):213-23.
doi: 10.3978/j.issn.2072-1439.2016.01.39.

Otorhinolaryngological aspects of sleep-related breathing disorders

Jagdeep S Virk  1 , Bhik Kotecha  1
Affiliations
Review

Otorhinolaryngological aspects of sleep-related breathing disorders

Jagdeep S Virk et al. J Thorac Dis. 2016 Feb.

Abstract

Snoring and obstructive sleep apnoea (OSA) are disorders within a wide spectrum of sleep-related breathing disorders (SRBD). Given the obesity epidemic, these conditions will become increasingly prevalent and continue to serve as a large economic burden. A thorough clinical evaluation and appropriate investigations will allow stratification of patients into appropriate treatment groups. A multidisciplinary team is required to manage these patients. Patient selection is critical in ensuring successful surgical and non-surgical outcomes. A wide range of options are available and further long term prospective studies, with standardised data capture and outcome goals, are required to evaluate the most appropriate techniques and long term success rates.

Keywords: Obstructive sleep apnoea (OSA); continuous positive airway pressure (CPAP); laser; radiofrequency; snoring.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Friedman tongue positions. With kind permission from Springer Science and Business Media (17).
Figure 2
Figure 2
Typical adult sleep cycle (https://commons.wikimedia.org/wiki/File%3ASleep_Hypnogram.svg). REM, rapid eye movement.
Figure 3
Figure 3
Characteristic sleep waveforms on electroencephalography (http://www.soundersleep.com/eegStages.php). REM, rapid eye movement.
Figure 4
Figure 4
Multilevel radiofrequency surgery to soft palate and tongue base. (A) Standard patient position with short Boyle-Davis gag in situ, tongue protrusion and nasotracheal intubation; (B) optimal visualization of epiglottis and access to tongue base with additional digital pressure over mylohyoid; (C) radiofrequency application sites to tongue base with Celon® system; (D) radiofrequency application sites (marked) to soft palate in first stage procedure. Note use of local anaesthetic and post-nasal packing. With kind permission from Springer Science and Business Media: (17).
See this image and copyright information in PMC

References

    1. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89. - PubMed
    1. AlGhanim N, Comondore VR, Fleetham J, et al. The economic impact of obstructive sleep apnea. Lung 2008;186:7-12. - PubMed
    1. Foley D, Ancoli-Israel S, Britz P, et al. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. J Psychosom Res 2004;56:497-502. - PubMed
    1. Namen AM, Dunagan DP, Fleischer A, et al. Increased physician-reported sleep apnea: the National Ambulatory Medical Care Survey. Chest 2002;121:1741-7. - PubMed
    1. Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46:85-90. - PMC - PubMed