Overview

Advanced Surgical Techniques in Snoring and Sleep Apnea covers the modern approaches to surgery for snoring and obstructive sleep apnea (OSA). Recognition and treatment of snoring and sleep apnea is a medical area that is rapidly growing in importance. Both family physicians and specialists are quickly recognizing this as a distinct disorder with deleterious effects to health if not treated promptly. This is the first book to cover the modern approaches to surgery. Sleep surgeons, ENT surgeons, residents and med students alike will find this book to be a must-have resource.

The accompanying DVD includes videos of surgical procedures and an introduction to the book by the lead editor, Dr. Kenny Pang.

Snoring, the lay term for noisy breathing during sleep, has historically been believed to be just a nocturnal nuisance and one of the most obnoxious of human habits. In a middle-aged population 20% of men and 5% of women will snore. By age 60 the number of habitual snorers will triple! Epidemiological studies have shown however that up to 50% of snorers do not just have simple snoring, but rather also have some form of pathological sleep disruption. Snoring may be a simple nuisance to the patient or sleep partner when not accompanied by other symptoms or complaints. However, it may just as likely be part of a symptom complex indicating a disease of sleep-disordered breathing (SDB). Sleep-disordered breathing is a spectrum of diseases related to decreased airflow through the upper airway during sleep, due either to complete or partial upper airway obstruction or increased upper airway resistance.

Review

• Liam M Flood FRCS, FRCSI, The Journal of Laryngology & Otology (May 13, 2013):
  "...The editors exploit personal experience from Singapore, Canada and the USA (although it is good to note that the senior editor holds an Irish FRCS in ORL)... There are countless tips and techniques, even just minor modifications, which I am itching to try out... The DVD is excellent. Operations are shown in real time and the image quality is remarkable... As I grow in seniority or, in reality, countdown to retirement and part time work (140 days to go today) I will not often open a book that seriously influences my practice. This will, as no-one else wants to take on the snoring/OSA work and it is still pouring in! An excellent manual and there are lots of advances I have not mentioned, such as robots and neurostimulation, but they are for my successor."

Preface
Contributors

Chapter 1 Pathophysiology, Signs, and Symptoms of OSA
Rusdian Utama Roeslani and B. Tucker Woodson

Chapter 2 Diagnosis of OSA: Polysomnography Versus Portable Monitoring
Stacey L. Ishman, Kavita Mundey, and B. Tucker Woodson

Chapter 3 Airway Evaluation in OSA
J. François Malan

Chapter 4 Current Concepts in Evaluation and Surgical Planning: The Pang-Woodson Protocol
Kenny P. Pang and B. Tucker Woodson

Chapter 5 Drug-Induced Sleep Endoscopy
Victor James Abdullah, Ioannis Koutsourelakis, Madeline Ravesloot, Dennis Lip Yen Lee, Stanley Ching Nam Ha, Charles Andrew van Hasselt, and Nico de Vries

Chapter 6 Clinical Staging of Obstructive Sleep Apnea
Michael Friedman, Christian G. Samuelson, and Craig S. Hamilton

Chapter 7 Oral Appliance Therapy in Obstructive Sleep Apnea
Brock Rondeau

Chapter 8 Positive Airway Pressure Treatment of Obstructive Sleep Apnea
Raymond Gottschalk

Chapter 9 Nasal Obstruction and Surgical Effects on OSA in Adults
Stuart G. MacKay

Chapter 10 Septoplasty, Nasal Turbinate Reduction in Obstructive Sleep Apnea
Jin Keat Siow and Kenny P. Pang

Chapter 11 Modified Cautery Assisted Palate Stiffening Operation (CAPSO)/ Anterior Palatoplasty
Kenny P. Pang and David J. Terris

Chapter 12 Palatal Implants for Treatment of Snoring
Brian W. Rotenberg

Chapter 13 Tonsillectomy Alone and Tonsillotomy in OSA 123
Jason K. M. Chau

Chapter 14 UPPP, Review of Techniques: Fujita, Simmons, Fairbanks, and Variants
J. François Malan

Chapter 15 Uvulopalatal Flap for Treatment of Sleep Apnea
Brian W. Rotenberg

Chapter 16 Z-Palatoplasty
Michael Friedman, Craig S. Hamilton, and Christian G. Samuelson

Chapter 17 Palatal Advancement Pharyngoplasty
B. Tucker Woodson

Chapter 18 Expansion Sphincter Pharyngoplasty
Kenny P. Pang, and B. Tucker Woodson

Chapter 19 Tongue Base Radiofrequency Ablation
Kenny P. Pang

Chapter 20 Tongue Suspension
Kenny P. Pang

Chapter 21 Modified Tongue Suspension
Mehmet Omur

Chapter 22 Endoscopic Midline Glossectomy for Obstructive Sleep Apnea
B. Tucker Woodson and Supawan Laohasiriwong

Chapter 23 Lingual Tonsillectomy Treatment of Sleep Apnea
Sharon Morong and Brian W. Rotenberg

Chapter 24 Genioglossus Advancement Mandibulotomy
Chairat Neruntarat

Chapter 25 Hyoid Suspension
Kenny P. Pang

Chapter 26 Rapid Maxillary Expansion
Kasey K. Li

Chapter 27 Maxillo-Mandibular Advancement
Steven Sewall

Chapter 28 Anesthesia Considerations in Surgery for Snoring and Sleep Apnea
John Fuller, Mark Schindel, and Brian W. Rotenberg

Chapter 29 Robotic Surgery for OSAHS: Transoral Robotic Tongue Base Reduction and Supraglottoplasty for OSAHS
Claudio Vicini, Filippo Montevecchi, Giulia Tenti, Iacopo Dallan, and Tod C. Huntley

Chapter 30 Salvage Surgery Techniques for Failed UPPP
Jimmy J. Brown and Kenny P. Pang

Chapter 31 Upper Airway Stimulation -- Implanted Neurostimulation Device for Treatment of Obstructive Sleep Apnea
Joachim T. Maurer and Nico de Vries

Chapter 32 Tracheostomy in OSA
Jason K. M. Chau

Chapter 33 Pediatric Obstructive Sleep Apnea: Diagnosis and Management
Dawn T. W. Teo and Ron B. Mitchell

Index

DVD Contents:

• Introduction
• 1 Endoscopic Turbinate Reduction with Radiofrequency (Curis)
• 2 Endoscopic Turbinate Reduction with Radiofrequency (Curis)
• 3 Endoscopic Turbinoplasty
• 4 Endoscopic Septoplasty Technique
• 5 Anterior Palatoplasty (Local Anaesthesia)
• 6 Anterior Palatoplasty (General Anaesthesia)
• 7 Palatal Pillar Implants
• 8 Coblation Tonsillectomy
• 9 Uvulopalatopharyngoplasty (UPPP- Modified)
• 10 Uvulopalatal Flap (UPF)
• 11 Z- Palatoplasty (ZPP)
• 12 Transpalatal Advancement
• 13 Expansion Sphincter Pharyngoplasty
• 14 Expansion Sphincteroplasty
• 15 Tongue Suspension
• 16 Tongue Suspension Flo Seal
• 17 Tongue Base Suspension (Modified)
• 18 Extended Endoscopic Midline Glossectomy
• 19 Coblation Lingual Tonsillectomy
• 20 Genioglossus Advancement Mandibulotomy
• 21 Hyoid Suspension
• 22 Robotic Surgery (Trans Oral)
• 23 Salvage (Revision UPPP)
• 24 Coblatior Adenoidectomy
• 25 Coblation Adenoidectomy (Trans Oral)

About The Editors

Kenny P. Pang

Kenny P. Pang, FRCSEd, FRCSI, is director and consultant at the Asia Sleep Centre, Ear Nose and Throat. He graduated from the National University of Singapore Faculty of Medicine and attained his surgical fellowship exams in general surgery and otorhinolaryngology from the Royal College of Surgeons (Edinburgh and Ireland) in 1999 and 2002, respectively. He also obtained his masters of medicine (otorhinolaryngology) in 2001. Dr. Pang completed his sleep surgery and sleep medicine fellowship at the Medical College of Georgia. He is chief editor of the International Sleep Surgery Society and is a fellow of the American Academy of Sleep Medicine. He has published and authored more than 30 articles and book chapters, and has been a speaker in more than 40 sleep surgery courses internationally. Dr Pang conducts his own successful Singapore Sleep Surgery Courses, and pioneered the Expansion Sphincter Pharyngoplasty and the Anterior Palatoplasty.

---

Brian W. Rotenberg

Brian Rotenberg, MD, MPH, FRCSC, is an associate professor of Otolaryngology—¬Head and Neck Surgery at Western University (London and Canada) and is director of the Sleep Surgery Program. He is dual fellowship trained in sinus/skull-base surgery and pediatric surgery. He has been an invited speaker across the world on topics relating to sleep apnea and rhinology, and has more than 40 peer reviewed publications in these areas. His research focuses on establishing evidence-based perioperative outcomes assessments for sleep apnea and snoring. He is also the chief editor of the International Surgical Sleep Society.

---

B Tucker Woodson

B. Tucker Woodson, MD, is professor and chief—Division of Sleep Medicine, Department of Otolaryngology and Communication Sciences—and co-director—the Froedtert Center for Sleep—at the Medical College of Wisconsin.

Related Titles