By Claudio Vicini, Paul T. Hoff, Filippo Montevecchi
This finished ebook pulls jointly the basic parts had to investigate sleep apnea sufferers for the transoral robot surgical strategy and the way to optimize the surgical procedure. certain details on sufferer choice, pre-operative paintings up, anesthesiological pre and post-operative administration, surgical procedure, difficulty prevention and administration is equipped besides history on sleep drugs and sleep surgical procedure. Authored for ENT surgeons, head and neck experts and neurologists, pneumonologists, sleep medical professionals in addition for anesthesiologists, chapters provide strategies pulled from specialists within the box of sleep surgical procedure and data suitable to geographic components worldwide.
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Additional resources for TransOral Robotic Surgery for Obstructive Sleep Apnea: A Practical Guide to Surgical Approach and Patient Management
MRI also allows a precise deﬁnition of lymphoid tissue hypertrophy including location, thickness, and volume ratio between lymphoid tissue and muscle (Fig. 3). It allows a better planning of tissue resection before surgery. Fig. 3 MRI allows a precise deﬁnition of lymphoid tissue hypertrophy including location, thickness, and volume ratio between lymphoid tissue and muscle 38 A. De Vito et al. Furthermore dynamic upper airway assessment obtained by introduction of ultrafast MRI techniques has shown dynamic conﬁguration, motion, and change of the upper airway during normal sleeping and apnea/hypopnea events.
Lingual-occlusal surface position predicts retroglossal obstruction in patients with obstructive sleep apnea hypopnea syndrome. Acta Otolaryngol. 2015; June 24:1–6 [Epub ahead of print]. 27. Wu D, Qin J, Guo X, et al. Analysis of the difference in the course of the lingual arteries caused by tongue position change. Laryngoscope. 2015;125(3):762–6. 28. Mortimore IL, Marshall I, Wraith PK. Neck and total body fat deposition in nonobese and obese patients with sleep apnea compared with that in control subjects.
Severe degrees of retrognathia are better managed using skeletal framework surgery (maxillomandibular advancement, which must be offered to the patient as an alternative to TORS). ” A normal tongue body volume in patients with retrognathia may be more difﬁcult to ﬁt into a narrow mandibular angle during exposure, which may require increased blade pressure, potentially threatening the lingual nerve function resulting in hypesthesia and dysgeusia. At the time of the ﬁrst clinical consultation the experienced sleep surgeon should pay close attention to the intentions, expectations, and personality of the patients considering alternatives to conservative therapy.