睡眠時無呼吸の診断と手術的治療  [in Japanese] The Diagnosis and Surgical Treatment of Sleep Apnea Syndrome  [in Japanese]

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Author(s)

Abstract

Sleep apnea syndrome (SAS) is a serious disorder that occurs at a high incidence. Until 30 years ago, snoring was considered harmless to the individual, and only a social problem in its annoyance to others. However, since it was reported that snoring is the most common symptom associated with SAS, and that severe snoring and SAS, especially obstructive sleep apnea syndrome (OSAS), have effects on the morbidity and mortality of patients with cardiovascular disease, snoring and SAS have attracted a great deal of attention. In 1981, Fujita et al. reported a method of treating snoring and SAS by uvulopalatopharyngoplasty (UPPP). However, the rate of improvement by UPPP remained at about 50%, which caused misunderstanding of the role of surgery in OSAS. In 1981, Sullivan et al. reported the use of nasal continuous positive airway pressure (nCPAP), and this brought about a marked change in the concept of OSAS treatment. There is currently controversy about the diagnosis and treatment of OSAS, specifically, who should diagnose and treat the disorder, how to treat it, and how to assess the effects of treatment. Therefore, we reviewed our data on the diagnosis and treatment of OSAS, including several problems relating to surgical treatment.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 95(2), 113-119, 2002-02-01

    The Society of Practical Otolaryngology

References:  41

Codes

  • NII Article ID (NAID)
    10008098821
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    00326313
  • NDL Article ID
    6061831
  • NDL Source Classification
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL Call No.
    Z19-421
  • Data Source
    CJP  NDL  J-STAGE 
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