Contemporary Sleep Surgery: From Reconstruction to Restoration

ABSTRACT

Obstructive sleep apnea (OSA) is a prevalent condition that affects people of all ages. Surgical management has improved with growing understanding of OSA pathophysiology, new methods of airway phenotyping and precision in operative techniques. The classic Stanford phased approach serves as a foundation for the updated algorithm, which places surgery on a continuum with medical and dental care. The last 40 years have seen a burgeoning of effort focused on individual surgical or dental procedural success rates. What lies ahead should be a focus on improving overall treatment success, usually achievable only with multimodal interventions. The goal of treatment success for the OSA patient will foster collaboration across disciplines.

Key words::

• Snoring
• obstructive sleep apnea
• maxillomandibular advancement
• hypoglossal nerve stimulation
• temporomandibular disorders
• tonsillectomy
• UPPP
• DOME

Additional information

Notes on contributors

Stanley Yung-Chuan Liu

Stanley Yung-Chuan Liu, MD, DDS, is an assistant professor of otolaryngology and, by courtesy, of plastic and reconstructive surgery at the Stanford University School of Medicine. He is director of the Stanford sleep surgery fellowship and preceptor to the oculoplastic surgery fellowship. Dr. Liu is a Stanford biodesign faculty fellow alumnus, a diplomate of the American Board of Oral and Maxillofacial Surgery, a fellow of the American College of Surgeons and a consultant member of sleep medicine for the American Academy of Otolaryngology.

Conflict of Interest Disclosure for both authors: None reported.

Rishi Jay Gupta

Rishi Jay Gupta, DDS, MD, MBA, is the section chief, oral and maxillofacial surgery, dental service, at the San Francisco VA Health Care System. He also serves as the regional sleep surgical and dental director for the VA Health Care System. He is assistant professor, department of oral and maxillofacial surgery, at the University of California, San Francisco and practices in a private practice. Dr. Gupta is a fellow of the American College of Surgeons.

Conflict of Interest Disclosure for both authors: None reported.