Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Editorial Volume 3 Issue 12

Does the Role Otorhinolaryngologist İncrease in the Diagnosisand Treatment of Snoring and OSA?

T Metin Önerci*

Profesor and Head of Department of Otorhinolaryngology and Head and Neck Surgery, Hacettepe University, Faculty of Medicine, Turkey

*Corresponding Author: T Metin Önerci, Profesor and Head of Department of Otorhinolaryngology and Head and Neck Surgery, Hacettepe University, Faculty of Medicine, Turkey.

Received: October 25, 2021; Published: October 28, 2021

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OSA is one of the most controversial diseases of otorhinolaryngology. The earliest records of snoring and sleep apnea date back more than 2,000 years. The earliest records of surgery for snoring was simply uvulectomy since it was easy to remove the uvula. The surgeons developed sophisticated instruments for this purpose and uvulectomy was a traditional surgery for hundres of years. In the 1950s, Schwartz proposed some procedures for snoring, the surgery was the resection of soft palate triangles just paramedian of the uvula. In the 1960s, amputation of the uvula became popular again, but it did not have much effect on apnea and only changed the pitch and the intensity of snoring [1,2]. In 1964 Ikematsu [3] described a more physiologic and conservative UPPP technic. Ikematsu’s technic was moidfied later by Fujita in 1981 [4], by a more aggressive technic. Later, multiple procedures for reconstruction of the soft palate, to maxillomandibular skeleton, and tongue base were introduced. However all these surgical approaches have not restored the main physiological dysfunctions (cognitive or cardiovascular) completely.

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References

  1. Yaremchuk K and Garcia-Rodriguez L. “The History of Sleep Surgery in Lin H-C (ed): Sleep-Related Breathing Disorders”. Advances in Oto-Rhino-Laryngology Basel, Karger 80 (2017): 17-21.
  2. Heinberg CJ. “A surgical procedure for the relief of snoring”. Eye, Ear, Nose and Throat Monthly 34 (1955): 389.
  3. Ikematsu A YU and Niho M. “The Ikematsu system for the diagnosis of snoring: a review of 39 years of clinical studies”. in Togawa K, Katayama S, Hishikawa Y, Ohta Y, Horie T (eds): Sleep Apnea and Rhonchopathy. Basel, Karger (1993).
  4. Fujita S., et al. “Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty”. Otolaryngology–Head and Neck Surgery 89 (1981): 923-934.
  5. Sullivan CE., et al. “Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares”. Lancet 1 (1981): 862-865.
  6. Weaver TE and Sawyer AM. “Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions”. Indian Journal of Medical Research 131 (2010): 245-258.
  7. Pittman SD., et al. “Follow-up assessment of CPAP efficacy in patients with obstructive sleep apnea using an ambulatory device based on peripheral arterial tonometry”. Sleep Breath3 (2006): 123-131.
  8. Huyett P and Soose RJ. “Rationale and indications for Surgical Treatment”. in Friedman M, Jacobowitz O (eds): Sleep Apnea and Snoring, Surgical and Nonsurgical Therapy. Elsevier (2020).
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Citation

Citation: T Metin Önerci. “Does the Role Otorhinolaryngologist İncrease in the Diagnosis and Treatment of Snoring and OSA?".Acta Scientific Otolaryngology 3.11 (2020): 25-30.




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