ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

New Treatment Options Emerge for OSA

by Thomas R. Collins • March 7, 2016

  • Tweet
  • Email
Print-Friendly Version

There are many device types, and otolaryngologists and dentists should work together to determine which is best for a given patient, he said, but they generally work by moving the mandible forward during sleep to help prevent airway collapse. “You’ll become a believer in oral appliances if you actually look at what these things do,” Dr. Gillespie said.

You Might Also Like

  • Few Outcome Differences, Higher Costs for DISE and TORS to Treat OSA
  • Isolated Tonsillectomy Valid Treatment for OSA in Some Adults
  • Hypopharyngeal Options for OSA
  • New Methods Emerge in the Treatment Of Obstructive Sleep Apnea
Explore This Issue
March 2016

An analysis of 11 randomized controlled trials comparing OA to continuous positive airway pressure (CPAP) found that CPAP, which has high rates of nonadherence, typically gets the better results in terms of AHI, but OA yields better results in patient preference and usage (J Clin Sleep Med. 2014;10:215-227). One study found that after uvulopalatopharyngoplasty (UPPP), AHI improved at first but then regressed after three years. In cases in which an OA was also used, however, that regression tended to be prevented (Ir J Med Sci. 2015;184:329-334).

“If you look at any sleep apnea treatment across the board, it seems about two-thirds of people have a good response: Two-thirds respond well to surgery; two-thirds respond well to CPAP; two-thirds respond well to oral appliance,” Dr. Gillespie said. “Therefore, I think a combination will allow you to get a higher response.”

Beyond UPPP

Erica R. Thaler, MD, professor of otorhinolaryngology-head and neck surgery at the University of Pennsylvania in Philadelphia, said that transoral robotic base-of-tongue surgery (TORS) for OSA can produce good results above and beyond previous surgery. Her indications for TORS are an AHI score higher than 20, with no maximum; no body-mass index cut-off, but with BMI considered when assessing a patient’s candidacy; and evidence of hypopharyngeal obstruction that is contributing to OSA.

According to data from her center recently published in The Laryngoscope, patients who had received a prior UPPP had a pre-surgery AHI of 40.3 and an AHI of 29.8 after TORS. Dr. Thaler said TORS should be a consideration (Laryngoscope. 2016;126:266-269).

Hypoglossal nerve stimulation is another option beyond UPPP, she said. The first eight patients in whom she has implanted the device have had impressive results. She presented AHI scores on the day of the implant—one with the device off, the other with it on. One patient’s index fell from 60 to less than five. Another dropped from more than 80 to approximately 10. A third patient’s index decreased from more than 100 to less than five, and Dr. Thaler acknowledged that while such an AHI would have been too high for the implant, the patient’s AHI had previously been 68.

Pages: 1 2 3 | Single Page

Filed Under: Features, Practice Focus, Sleep Medicine Tagged With: distraction osteogenesis, micrognathia, Obstructive sleep apnea, OSA, Sections Meeting 2016Issue: March 2016

You Might Also Like:

  • Few Outcome Differences, Higher Costs for DISE and TORS to Treat OSA
  • Isolated Tonsillectomy Valid Treatment for OSA in Some Adults
  • Hypopharyngeal Options for OSA
  • New Methods Emerge in the Treatment Of Obstructive Sleep Apnea

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.