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Management of obstructive sleep apnea in children: A practical approach

July 18, 2016  |  Kevin D. Pereira, MD; Cindy K. Jon, MD, MPH; Peter Szmuk, MD; Rande H. Lazar, MD; Ron B. Mitchell, MD


The management of sleep disordered breathing (SDB) in children differs between institutions, and there is a need for an updated review of current practice. Literature was reviewed using the PubMed database from 1995 to 2015 by four tertiary care providers experienced in the...

Analysis of the vertebrobasilar system in patients with obstructive sleep apnea

August 22, 2013  |  Umit Taskin, MD; Ozgur Yigit, MD; Ayse S. Sisman, MD; Sahin Ogreden, MD; Elad Azizli, MD; Fatih Kantarci, MD; and Ismail Mihmanli, MD


We conducted a prospective study to evaluate the vertebrobasilar system in adults with and without obstructive sleep apnea (OSA). Our study population was made up of 48 patients with OSA and 21 healthy volunteers who served as controls; the OSA patients were subdivided into one...

Multilevel treatment of moderate and severe obstructive sleep apnea with bone-anchored pharyngeal suspension sutures

August 22, 2013  |  Eric E. Berg, MD; Frederick Bunge, MD; and John M. DelGaudio, MD


Success rates for the surgical treatment of obstructive sleep apnea (OSA) vary, with phase I surgical success ranging from 40 to 75%. Pharyngeal suspension suture procedures are minimally invasive techniques with a reported efficacy of 20 to 78%. We conducted a study to...

Supraglottoplasty for airway obstruction

June 12, 2013  |  Nausheen Jamal, MD; Farhad Chowdhury, DO; Reena Gupta, MD; and Robert T. Sataloff, MD, DMA, FACS

Supraglottoplasty may be helpful in a patient with tracheotomy-dependent  adult obstructive sleep apnea/hypopnea syndrome that is causally related to or aggravated by supraglottic obstruction.

Hypopharyngeal lipoma causing obstructive sleep apnea: Discovery on dental cone-beam CT

March 25, 2013  |  Ashok Balasundaram, BDS, DDS, MDS, MS, Diplomate ABOMR


Cone-beam computed tomography (CBCT) is primarily used for a variety of dental purposes, but it may also yield nondental findings that can have significant implications for patient health. For example, physicians should be aware that CBCT can identify some of the etiopathogenic...

Obstructive sleep apnea syndrome induced by laryngeal lesions: Two cases

November 1, 2012  |  Taha Tahir Bekci, MD; Mesut Tezer, MD; Nurdogan Ata, MD; Levent Emre, MD


We describe 2 cases of obstructive sleep apnea syndrome (OSAS) that were found to be caused by the presence of laryngeal masses. Both patients presented with a long-standing history of snoring, gasping for air while sleeping, excessive daytime sleepiness, and morning headaches...

A comparison of unilevel and multilevel surgery in obstructive sleep apnea syndrome

August 10, 2012  |  Ümit Tunçel, MD; Hasan Mete İnançlı, MD; Şefik Sinan Kürkçüoğlu, MD; Murat Enoz, MD


We conducted a retrospective study of 35 adults who had undergone tongue base suspension in addition to other surgery for the treatment of obstructive sleep apnea syndrome (OSAS). Our goal was to determine the most effective surgical approach by comparing...

Hyoid suspension surgery with UPPP for the treatment of hypopharyngeal airway obstruction in obstructive sleep apnea

August 10, 2012  |  Selmin Karataylı-Özgürsoy, MD; Alp Demireller, MD


We report our experience with hyoid suspension surgery in patients with obstructive sleep apnea (OSA) diagnosed on the basis of polysomnographic criteria. We conducted a prospective, observational study of 20 patients—18 males and 2 females, aged 15 to 52...

Thyroidectomy for goiter relieves obstructive sleep apnea: Results of 8 cases

July 14, 2011  |  Mark T. Agrama, MD


The author conducted a retrospective study of 8 adults with euthyroid goiter that had resulted in tracheal compression and led to moderate to severe obstructive sleep apnea (OSA). The purpose of the study was to evaluate the effects of thyroidectomy on the apnea-hypopnea index...

Massive lymphoid hyperplasia presenting with obstructive sleep apnea secondary to lingual and palatine tonsil hyperplasia

April 1, 2011  |  Gül Özbilen Acar, MD, Murat Yener, MD, Harun Cansiz, MD, Engin Acioğlu, MD, and Nukhet Tuziner, MD


Lingual tonsil hyperplasia is a rare condition that may cause obstructive sleep apnea (OSA). In the management of OSA, the lingual tonsils should be evaluated during the otorhinolaryngologic examination. We report the case of a 66-year-old man with findings of upper airway...

An aberrant internal carotid artery discovered during evaluation of obstructive sleep apnea: A report of 2 cases with consideration of a possible association

January 1, 2011  |  Andrew C. Picel, MD and Terence M. Davidson, MD


Obstructive sleep apnea (OSA) is often associated with reduced pharyngeal muscle tone and an anatomically narrowed pharyngeal airspace. We describe 2 cases of aberrant internal carotid arteries that were diagnosed during evaluations of patients with suspected OSA. It is...

Esophageal hamartoma as an unusual cause of neonatal apnea and bradycardia

March 1, 2010  |  Jeffrey Coury, DO, Jonathan Steinfeld, MD, David Zwillenberg, MD, and Seth Zwillenberg, MD


Esophageal hamartoma is a rare entity, as only 7 cases have been previously reported in the English-language literature. Common symptoms include dysphagia, weight loss, and vomiting. Life-threatening airway obstruction can also occur. Because of the nonspecific nature of the...


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