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PubMed1980

[Snoring].

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Disorders of Excessive Somnolence↗
PubMedDate not supplied

Assessment and management of snoring: a surgical perspective.

This article reviews the assessment and treatment options for both 'simple snorers' and those with obstructive sleep apnoea. Accurate assessment of all snorers is essential for optimal outcome and new surgical techniques now provide good symptom relief while maintaining normal palatal anatomy. The need for involvement of both respiratory physicians and otolaryngologists in the patient's care is emphasised.

Adenoidectomy↗
PubMed1994

[Value of hyomandibulopexia in the surgical treatment of snoring in patients with sleep apnea].

The authors report their experience with hyomandibulopexia for lingual repositioning in patients with the sleep apnea syndrome. The technique was used 12 times in 11 men and 1 woman and a maximum follow-up of 3.4 years. Hypomandibulopexia was performed as first intention therapy 7 times with or without uvulo-palato-pharyngoplasty. Video-fibroscopy of the pharynx and cephalic magnetic resonance imagery revealed retrobasilingual narrowing in all 7 of these cases. Hyomandibulopexia was performed 5 times for recurrent sleep apnoea syndrome after prior surgery. In two cases, pre-operative evaluation did not reveal any topographic abnormality. Polysomnography studies showed clear improvement with a decreased apneic index and desaturation values. A second fixation of the hyoid was success fully in one case. Hyomandibulopexia is a simple and reliable technique which is useful in patients with sleep apnea syndrome with good to excellent medium term results.

Adult↗