Controversies in Obstructive Sleep Apnea Surgery

摘要

Obstructive sleep apnea (OSA) is a common chronic disease characterized by repetitive pharyngeal collapse during sleep. OSA is associated with cardiovascular disease and increased mortality, among other issues. Continuous positive airway pressure (CPAP) is considered first-line therapy for OSA, but is not always tolerated. Both nonsurgical and surgical alternative management strategies are available for the CPAP-intolerant patient. This article explores controversies surrounding airway evaluation, definition of successful treatment, and surgical management of the CPAP-intolerant patient with moderate to severe OSA. Controversies specific to maxillomandibular advancement also are discussed.