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Craniomaxillofacial Reconstruction
Otolaryngology– Head and Neck Surgery Volume 122 Number 1
procedure. We found the procedure safe and fairly easy to perform. Postoperative discomfort lasted for 1 to 2 weeks. In 2 patients with prolonged pain and local infection, the procedure was reversed by suture removal. The ability to reverse the procedure is an advantage leaving no change in anatomy despite failure of the procedure. The initial improvement in sleep parameters in these patients is encouraging. Long-term follow-up and a more controlled study are necessary to prove efficacy. In SDB multiple sites of collapse are likely to be involved; therefore tongue-base stabilization may be an important minimally invasive addition to other treatment modalities aimed at other levels of obstruction during sleep. A combined multilevel approach with minimal morbidity to the patient may be appropriate in surgical correction of SDB.
DEROWE et al
103
REFERENCES 1. Riley RW, Nelson BP, Guilleminault C. Obstructive sleep apnea syndrome: a surgical protocol for dynamic upper airway reconstruction. J Oral Maxillofac Surg 1993;512:742-7. 2. Katsantonis GP, Moss K, Miyazaki S, et al. Determining the site of airway collapse in obstructive sleep apnea with airway pressure monitoring. Laryngoscope 1993;103:11261031. 3. Shepard JW, Thawley SE. Localization of upper airway collapse during sleep in patients with obstructive sleep apnea. Am Rev Respir Dis 1990;141:1350-5. 4. DeRowe A, Gunther E, Safaya A, et al. Tongue base suspension for sleep disordered breathing: a new technique and device using a bone to soft tissue anchor. Animal experiments and preliminary clinical results [abstract]. Triologic Society Eastern Section Meeting, New York (NY), Jan 30–Feb 1, 1998. 5. Fujita S, Woodson BT, Witting R. Laser midline glossectomy as a treatment for obstructive sleep apnea. Laryngoscope 1991;101: 805-9. 6. Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19:156-77.
Craniomaxillofacial Reconstruction
The AO ASIF Advanced Symposium on Craniomaxillofacial Reconstruction will be held February 27-29, 2000, in Breckenridge, CO. It is designed for surgeons who have interest/experience in stable fixation techniques and philosophy. Chairmen include Norman Clark, DMD, MD, Peter J. Koltai, MD, and Edward Mosby, DDS. Credits: 20 AMA category 1. For further information, contact the AO ASIF Continuing Education Office, 1690 Russell Rd, PO Box 1766, Paoli, PA 19301; phone 800-769-1391; fax 610-251-5039.
procedure. We found the procedure safe and fairly easy to perform. Postoperative discomfort lasted for 1 to 2 weeks. In 2 patients with prolonged pain and local infection, the procedure was reversed by suture removal. The ability to reverse the procedure is an advantage leaving no change in anatomy despite failure of the procedure. The initial improvement in sleep parameters in these patients is encouraging. Long-term follow-up and a more controlled study are necessary to prove efficacy. In SDB multiple sites of collapse are likely to be involved; therefore tongue-base stabilization may be an important minimally invasive addition to other treatment modalities aimed at other levels of obstruction during sleep. A combined multilevel approach with minimal morbidity to the patient may be appropriate in surgical correction of SDB.
DEROWE et al
103
REFERENCES 1. Riley RW, Nelson BP, Guilleminault C. Obstructive sleep apnea syndrome: a surgical protocol for dynamic upper airway reconstruction. J Oral Maxillofac Surg 1993;512:742-7. 2. Katsantonis GP, Moss K, Miyazaki S, et al. Determining the site of airway collapse in obstructive sleep apnea with airway pressure monitoring. Laryngoscope 1993;103:11261031. 3. Shepard JW, Thawley SE. Localization of upper airway collapse during sleep in patients with obstructive sleep apnea. Am Rev Respir Dis 1990;141:1350-5. 4. DeRowe A, Gunther E, Safaya A, et al. Tongue base suspension for sleep disordered breathing: a new technique and device using a bone to soft tissue anchor. Animal experiments and preliminary clinical results [abstract]. Triologic Society Eastern Section Meeting, New York (NY), Jan 30–Feb 1, 1998. 5. Fujita S, Woodson BT, Witting R. Laser midline glossectomy as a treatment for obstructive sleep apnea. Laryngoscope 1991;101: 805-9. 6. Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19:156-77.
Craniomaxillofacial Reconstruction
The AO ASIF Advanced Symposium on Craniomaxillofacial Reconstruction will be held February 27-29, 2000, in Breckenridge, CO. It is designed for surgeons who have interest/experience in stable fixation techniques and philosophy. Chairmen include Norman Clark, DMD, MD, Peter J. Koltai, MD, and Edward Mosby, DDS. Credits: 20 AMA category 1. For further information, contact the AO ASIF Continuing Education Office, 1690 Russell Rd, PO Box 1766, Paoli, PA 19301; phone 800-769-1391; fax 610-251-5039.