Anesthesiologic Airway Management
Airway maintenance in patients with obstructive sleep apnea (OSA) can be challenging; therefore, profound preoperative evaluation and preparation are mandatory. Decisions for anesthesiologic airway management focus on awake fiberoptic intubation vs. induc
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Karl Hörmann • Thomas Verse
Surgery for Sleep Disordered Breathing Second Edition
Prof. Dr. Thomas Verse Asklepios Klinik Harburg Abteilung HNO Eißendorfer Pferdeweg 52 21075 Hamburg Germany [email protected]
Prof. Dr. Karl Hörmann Universitätsklinikum Mannheim Hals-Nasen-Ohrenklinik Theodor-Kutzer-Ufer 1-3 68167 Mannheim Germany [email protected]
ISBN: 978-3-540-77785-4
e-ISBN: 978-3-540-77786-1
DOI: 10.1007/978-3-540-77786-1 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2009926259 © Springer-Verlag Berlin Heidelberg 2010, 2005 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our experience and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptio
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