Department of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, CA 94305-5739, USA.
Neurotherapeutics. 2012 Oct;9(4):710-6. doi: 10.1007/s13311-012-0141-x.
Obstructive sleep apnea (OSA) is a disease characterized by intermittent and repetitive narrowing of the airway during sleep. Surgical therapies for the treatment of OSA aim to improve airway patency by addressing selected site(s) of obstruction. Because several areas may each be responsible for the narrowing, different surgical modalities have also been developed. In this review, we give an overview of surgery for each of potential obstruction site(s). As a consequence of the multi-factorial and heterogeneous etiology of OSA, surgical therapies need to be selected and performed specifically for each patient, as there is no perfect surgery that will fit all patients. As with any other treatment modalities for OSA, surgical therapies have variable efficacy, but are a very important tool on OSA management in selected patients and have been shown effectiveness in decreasing the morbidity and mortality associated with the disease.
阻塞性睡眠呼吸暂停（OSA）是一种以睡眠期间气道间歇性和反复性狭窄为特征的疾病。用于治疗 OSA 的手术疗法旨在通过解决选定的阻塞部位来改善气道通畅性。由于多个部位可能各自导致狭窄，因此也开发了不同的手术方式。在这篇综述中，我们概述了针对每个潜在阻塞部位的手术治疗。由于 OSA 的多因素和异质性病因，手术治疗需要针对每个患者进行选择和实施，因为没有一种完美的手术适用于所有患者。与 OSA 的任何其他治疗方式一样，手术治疗的效果各不相同，但对于某些患者的 OSA 管理是一种非常重要的手段，并且已证明可以降低与该疾病相关的发病率和死亡率。
