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Book reviews/ Int. J. Pediatr. Otorhinoloryngol. 32 (1995) 93-96
Snoring and Obstructive Sleep Apnea, Second Edition Edited by David N.F. Fairbanks and Shiro Fujita (Eds.), Raven Press, New York, 1994, $72.00, 268 pp. The original edition of this textbook appeared in 1987 and was edited by Fairbanks, Fujita, Ikematsu and Simmons. Containing 13 chapters by 12 contributors, the original edition emphasized the management of the obstructive sleep apnea syndrome (OSAS). The second edition, edited by David Fairbanks and Shiro Fujita (deceased), contains updated contributions by many of the same authorities. In addition, several new chapters have been added, reflecting advances in this changing field. The first chapter contains an introduction by the senior editor to the problem of snoring and nighttime airway obstruction. Aaron Sher presents a overview of the history and physical findings in OSAS patients. He also discusses specialized tests that are helpful in the evaluation of these patients. The third chapter reviews the cardiopulmonary and neurological consequences of obstructive apnea. In the lirst edition, the emphasis was on cardiovascular complications. Neurological sequelae are emphasized in the second edition. Samuel Potolicchio discusses other disorders of excessive sleepiness in the fourth chapter. Most of the remainder of the book addresses the surgical correction of OSAS with particular emphasis on the pharynx as the site of obstruction. Fujita introduces the topic of pharyngeal surgery in the sixth chapter. Uvulopalatopharyngoplasty is discussed in detail in the next chapter that includes seven variations of the procedure. Each variation is succinctly described and nicely illustrated. In the following chapter, Katsantonis reviews the limitations of uvulopalatopharyngoplasty and potential complications of the procedure. In a chapter new to the second edition, Woodson and Fujita discuss the indications and technique of laser midline glossectomy. In the tenth chapter, Fairbanks discusses the role of tracheostomy in OSAS patients, including problems unique to this group of patients. Papsidero reviews the role of nasal obstruction in nighttime obstruction in the next chapter. In another new chapter, Powell, Riley and Guilleminault present data confirming the efficacy of genioglossus advancement. Potsic and Marsh address the issues surrounding obstructive sleep apnea in children. Two chapters address the non-surgical management of OSAS. One chapter by Mark Sanders includes a discussion of drug therapy and use of positive airway pressure (CPAP/BIPAP). Another chapter is devoted to dental devices that have been employed to prevent pharyngeal obstruction. The final chapter by Sher outlines future trends in the management of OSAS patients. The second edition of Snoring and Obstructive Sleep Apnea provides an updated text on the management of the OSAS patient. As such, it is a valuable resource in the armamentarium of otolaryngologists and head and neck surgeons who treat this disorder. Children’s Hospital of Philadelphia
0165~5876/95/$09,50
Ralph F. Wetmore. MD and the University of Pennsylvania, School of Medicine, Philadelphia, PA, USA
0 1995 Elsevier Science Ireland Ltd. All rights reserved
SSDI 0165-5876(94)01122-E