Surgical and Nonsurgical Treatment of OSA: The Latinamerican Perspective
2019 AAO-HNSF Annual Meeting & OTO Experience
Keyword(s)
OSA, DISE, surgical, nonsurgical
Despite CPAP remains the gold standard for OSA treatment and CPAP machines are more and more compact, silent and comfortable; up to 50% of patients have poor compliance to treatment. As upper airway surgeons, we need to be aware of the different options we can offer our patients. This leads to the question: Is it better a suboptimal use of an optimal treatment (CPAP) than the optimal effect of a suboptimal therapy? It is very important to understand the principles of Drug Induced Sleep Endoscopy (DISE) and how this technique has been adapted to our private practice in a developing country, becoming a crucial step for surgical decision making. As the surgical techniques continually evolve, the management of sleep disordered breathing becomes more complex, therefore we will summarize the evidence and our experience with different approaches. Another important step forward is the new phenotypic classification, which allows us to tailor the treatment to each patient´s need, combining two or more surgical and nonsurgical therapies. Based on the above, we have selected 3 topics: 1.- DISE for surgical decision making. 2.- Palatal surgery techniques: Our experience in a developing country. 3.- Phenotypes and nonsurgical treatment options.
Description
Despite CPAP remains the gold standard for OSA treatment and CPAP machines are more and more compact, silent and comfortable; up to 50% of patients have poor compliance to treatment. As upper airway surgeons, we need to be aware of the different options we can offer our patients. This leads to the question: Is it better a suboptimal use of an optimal treatment (CPAP) than the optimal effect of a suboptimal therapy? It is very important to understand the principles of Drug Induced Sleep Endoscopy (DISE) and how this technique has been adapted to our private practice in a developing country, becoming a crucial step for surgical decision making. As the surgical techniques continually evolve, the management of sleep disordered breathing becomes more complex, therefore we will summarize the evidence and our experience with different approaches. Another important step forward is the new phenotypic classification, which allows us to tailor the treatment to each patient´s need, combining two or more surgical and nonsurgical therapies. Based on the above, we have selected 3 topics: 1.- DISE for surgical decision making. 2.- Palatal surgery techniques: Our experience in a developing country. 3.- Phenotypes and nonsurgical treatment options.Learning Objectives: 1. Recognize the different sites and patterns of collapse in OSA and make surgical decisions based on DISE. 2. Acknowledge the surgical options for an OSA patient. 3. Get a general perspective about nonsurgical options for OSA treatment and classify patients according to their OSA phenotype.Faculty: Rodolfo Lugo, MD(Nothing to Disclose), Rafael Moreno-Sales(Nothing to Disclose), Martinez-Vite(Did Not Disclose), Ronaldo Tamez-Gonzalez(Nothing to Disclose).
Courses in package:
No Records Found
