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Advanced Palate Surgery: What Works?

  • SLEEP MEDICINE: Sleep Apnea (K Pang, Section Editor)
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Abstract

Purpose of Review

To describe the current knowledge about palate surgery in obstructive sleep apnea (OSA). Basic and advanced surgical techniques developed during the last years will be illustrated.

Recent Findings

Palate surgery has evolved from ablative and aggressive surgeries to more selective and conservative surgery. Minimally invasive surgery has a role in palate surgery, including radiofrequency of the soft palate that can be performed in the office. Nevertheless, invasive techniques may be more effective in the long term. From tonsillectomy to modern lateral wall addressing pharyngoplasties have shown some good results in selected OSA patients. Several randomized controlled trials and meta-analysis are reviewed. A description of each technique is included.

Summary

Selecting a successful surgical approach depends on many factors such as the age of the patients, AHI severity, patient’s airway collapse pattern, body mass index, surgeon experience, and patient’s preference. It is important to discuss also surgical treatment expectations and outcomes. Lateral wall addressing pharyngoplasties have shown best results in OSA patients.

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  1. Otorhinolaryngology Department, Hospital Sanitas la Zarzuela, Madrid, Spain

    Marta Alcaraz, Gabriela Bosco, Nuria Pérez-Martín & Guillermo Plaza

  2. Otorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, C/ Camino del Molino 2, Fuenlabrada, 28042, Madrid, Spain

    Gabriela Bosco, Nuria Pérez-Martín, Marta Morato, Andrés Navarro & Guillermo Plaza

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Alcaraz, M., Bosco, G., Pérez-Martín, N. et al. Advanced Palate Surgery: What Works?. Curr Otorhinolaryngol Rep 9, 271–284 (2021). https://doi.org/10.1007/s40136-021-00356-4

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