Obstructive Sleep Apnea (OSA) is the most prevalent sleep disordered breathing disorder. It has become apparent that in more than half the patients with OSA, the frequency and duration of apneas are influenced by body position. To treat patients with Position Dependent OSA (POSA), positional therapy can be considered for preventing patients from sleeping in the worst sleeping position. Treatment of POSA has advanced dramatically recently with the introduction of a new generation of positional therapy. Positional Therapy in Obstructive Sleep Apnea presents improved OSA diagnostic methods and the tools needed to implement positional therapy in clinical practice. This includes patient work-up, positional therapy with or without other treatments, consequences of guidelines and future developments. Clinicians, students and researchers will find this comprehensive guide to be an invaluable resource for evaluating and treating sleep breathing disorders.

Obstructive Sleep Apnea (OSA) is the most prevalent sleep disordered breathing disorder. It has become apparent that in more than half the patients with OSA, the frequency and duration of apneas are influenced by body position. To treat patients with Position Dependent OSA (POSA), positional therapy can be considered for preventing patients from sleeping in the worst sleeping position. Treatment of POSA has advanced dramatically recently with the introduction of a new generation of positional therapy. Positional Therapy in Obstructive Sleep Apnea presents improved OSA diagnostic methods and the tools needed to implement positional therapy in clinical practice. This includes patient work-up, positional therapy with or without other treatments, consequences of guidelines and future developments. Clinicians, students and researchers will find this comprehensive guide to be an invaluable resource for evaluating and treating sleep breathing disorders.

A key new reference dedicated to the surgical management of sleep-disordered breathing... The importance of unobstructed respiration in sleep, and the long-term risks of sleep apnea, cannot be overemphasized. The therapeutic efficacy of the widely prescribed "gold standard," CPAP, is compromised by low patient acceptance and compliance. In light of the limits of CPAP and other forms of conservative therapy (e.g., mandibular advancement devices), there is a growing tendency to explore and expand the role of surgery in the treatment of severe sleep apnea. New insights and developments in pathophysiology, surgical techniques, and implants have opened the way to increased success in treating sleep apnea surgically. This new work by leading international specialists provides a detailed, evidence-based approach to selected advanced surgical techniques, beginning with patient selection criteria, discussion of indications for and against surgery, choice of procedure (also in combinations), and more. Key Features: Systematic, practice-oriented approach to examination, diagnosis, and treatment Step-by-step description of surgical concepts and techniques Superbly illustrated with full-colored photographs and drawings Focus on those procedures that have been shown to be successful in specific situations Discussion of outcomes, success rates, risks, and potential complications; where evidence-based data are not available, expert opinion is provided Current Concepts of Sleep Apnea Surgery will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book by leading international experts provides an evidence-based approach to electrical stimulation of the upper airway, beginning with patient selection, implant techniques, trouble shootings, patient pathways, titrations during daytime and sleep as also new innovative techniques such as stimulation of the ansa cervicalis and the phrenic nerve.  Key Features:  ·       Superbly illustrated schematic drawings and full-colored photographs; ·       Step-by-step description of surgical concepts and techniques on all of the market available systems (Inspire, Nyxoah, LivaNova, Remede); ·       Complete online media library with videos on the surgical procedures; ·       New surgical steps presented for well established procedures (e.g. 2-incicions technique); ·       Discussion of outcomes, success rates, risks, and potential troubleshooting’s, where evidenced-based data are not available, expert opinion is provided.   Upper Airway Stimulation in Obstructive Sleep Apnea will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery.