Surgical Treatment of Obstructive Sleep Apnea: Epiglottic Surgery

Introduction and objective: Among the possible causes of OSA, although rare, are alterations of the epiglottis. The objective of this work is to highlight its importance and insist on its active diagnosis, since in well-selected cases it can be treated surgically. Synthesis: The importance of the ep...

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Detalhes bibliográficos
Autores: Marco-garrido, A, Arroyo-domingo, M, Martinez-Alonso, JA, O'connor-Reina, C, Plaza-Mayor, G, Carrasco-Llatas, M, De Apodaca, PMR, Baptista-Jardín, P
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2025
País:España
Recursos:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositório:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p18595
Acesso em linha:https://fisabio.portalinvestigacion.com/publicaciones/18595
Access Level:Acceso aberto
Palavra-chave:Epiglottis
obstructive sleep apnea
epiglottectomy
epiglottopexy
Descrição
Resumo:Introduction and objective: Among the possible causes of OSA, although rare, are alterations of the epiglottis. The objective of this work is to highlight its importance and insist on its active diagnosis, since in well-selected cases it can be treated surgically. Synthesis: The importance of the epiglottis as a cause of OSA, its exploration and possible surgical alternatives are detailed. Conclusions: The epiglottis is an anatomical structure that generally goes unnoticed as a cause of OSA in adults and that can cause even severe OSA. It must be studied in an active way. Its involvement in OSA is likely not to be revealed during awake examination and DISE maybe required to appreciate how it collapses during inspiration in the sleeping patient. Some surgical techniques are described as it is a good choice in many properly selected patients.