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Surgical treatment of obstructive sleep apnea: palate surgery

  • Laura Rodríguez-Alcalá
    Servicio de Otorrinolaringología de los Hospitales Quironsalud Marbella y Campo de Gibraltar, España
  • Carlos O’Connor-Reina
    Servicio de Otorrinolaringología de los Hospitales Quironsalud Marbella y Campo de Gibraltar, España coconnorreina[at]gmail.com
  • Guillermo Plaza-Mayor
    Servicio de Otorrinolaringologia del Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, España
  • Marina Carrasco-Llatas
    Servicio de Otorrinolaringología del Hospital Universitario Doctor Peset, Valencia, España
  • Peter Michael Baptista-Jardín
    Servicio de Otorrinolaringologia de la Clínica Universidad de Navarra, Pamplona, Navarra, España https://orcid.org/0000-0002-6601-5331
  • Paula Martínez-Ruiz de Apodaca
    Servicio de Otorrinolaringologia del Hospital Universitario Reina Sofía. Murcia. España
  • Alfonso Marco-Garrido
    Servicio de Otorrinolaringologia del Hospital Universitario Reina Sofía. Murcia. España
https://doi.org/10.14201/orl.30975

Abstract

Introduction: Upper airway (UA) surgery is a therapeutic option for patients with sleepdisordered breathing (SDB), which is based on modifying the anatomy of the UA to improve airflow and reduce apneas and hypopneas. Objective: To review the latest pharyngoplasty procedures published in the literature, which are characterized by being functional techniques without tissue resection. Synthesis: The advances that have marked a change in UA surgery in the last two decades are described, such as the use of drug-induced sleep endoscopy (DISE) to assess the anatomy of the UA of the sleeping patient, and the interest of otolaryngologists in acquiring training in sleep medicine. The main pharyngoplasty techniques are presented, such as lateral pharyngeal expansion (LPE), soft palate suspension (SPS), hyoid muscle suspension (HMS) and genioglossus muscle suspension (GMS). Conclusions: UA surgery has evolved towards less invasive and more personalized procedures, which adapt to the anatomical and functional characteristics of each patient. Pharyngoplasty is an effective and safe technique to improve the quality of life and sleep of patients with SDB.
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Rodríguez-Alcalá, L., O’Connor-Reina, C., Plaza-Mayor, G., Carrasco-Llatas, M., Baptista-Jardín, P. M., Martínez-Ruiz de Apodaca, P., & Marco-Garrido, A. (2023). Surgical treatment of obstructive sleep apnea: palate surgery. Revista ORL, e30975. https://doi.org/10.14201/orl.30975

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