This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

—ROBERT H. MATHOG, MD
Detroit

Arch Otolaryngol Head Neck Surg. 1989;115(4):421.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the 1988 annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, Robert W. Riley and colleagues, Palo Alto, Calif, presented a new technique for the management of obstructive sleep apnea. Relying on their experience and that of others, they concluded that there were a number of uvulopalatopharyngoplasty failures as a result of pharyngeal obstruction, and that these patients could be helped by a mandibular osteotomy and hyoid suspension procedure. With these techniques, they showed that they could increase the "responders," patients with a respiratory disturbance index less than 20%, from less than 50% to 67%. Those patients who did not respond were noted to have a structural deficiency, and, if they were treated with a maxillary, mandibular, and hyoid advancement procedure, they could affect a further reduction in signs and symptoms. Several patients in their series who had failed palatopharyngoplasty were helped with the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?