Review of the Literature

Literature Review
Justina Musa
Professor: Lawson
NRS 441
Date: 5/13/2014
Review of literature
Article 1: American Academy of Otolaryngology. (2011). Surgery for Obstructive Sleep Apnea.
The article delves into obstructive sleep apnea (OSA), prevalence, with 1 in 5 Americans having mild OSA, surgical treatments including skeletal procedures and non surgical methods. The organization also highlight the condition’s impact on health including increased risk of stroke, heart diseases and breathing obstruction during the night which in turn increases sleepiness during the day. Thus, one of the treatments adopted is surgery of the nose to reduce blockage and snoring, as well as the upper throat and lower throat. Skeletal procedure is mostly used for patients with structural and development alterations of the jaws (American Academy of Otolaryngology 2011). Non surgical procedures include continuous positive airway pressure (CPAP) weight loss and oral appliances. The article’s main strength is that it provides an over view of the condition, and what patients should do before resulting to surgery.
Article 2: Morgan, C., & Meyers, A. (2013). Surgical Approach to Snoring and Sleep Apnea. Medscape
The authors highlight on the surgical management of sleep apnea and snoring, and since OSA has obstruction it can present challenges to surgeons. Though, there are numerous surgical procedures to manage OSA, uvulopalatopharyngoplasty (UPPP, or UP3 is the most commonly used procedure. Patients typically require surgery when the source of the abnormality is correctable after the patient has already used CPAP. Morgan &Meyers (2013) point out, patients do not require scanning as this result to unnecessary radiation and does not add value. The main strength of the article is that it delves into various s surgical procedures useful for patients with OSA, and also highlights on possible complications and care required for patients who have undergone surgery. Post obstructive pulmonary edema, bleeding and injuries are possible complications that patients should be aware about, and patients with mild obstructive diseases respond more to surgical management than severally ill patients.
Article 3: Mehra, P., & Wolford, L. M. (2009). Surgical Management of Obstructive Sleep Apnea. Baylor University Medical Centre; 13(4): 338-342.
OSA has garnered attention among medical practitioners because of the potential impact of the condition. In particular, both sleep fragmentation and hypoxemia result from airway blockage which then precipitate apnea or hypopnea. Mehra and Wolford (2009) lay emphasis on various surgical techniques form managing OSA, but focus more jaw advancement surgical procedures. Besides focusing on the various surgical procedures, the authors highlight on presurgical considerations including planning including correction of craniofacial deformities, skeletal and soft tissue, together with medical e...