Talks：
Soft tissue surgery in the Treatment of OSA
Name：
李立昂(Li- Ang Lee)
Position：
Associate Professor, Director, Division of Laryngology
Affiliation：
Department of Otorhinolaryngology, Head and Neck Surgery, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan (R.O.C.)
Email：
5738@cgmh.org.tw
Photo：
Research Interests：
(1) Sleep Medicine,
(2) Head and Neck Oncology,
(3) Laryngology,
(4) Pediatric Otolaryngology,
(5) Medical Education.
Selected Publications：
1. Lee LA*, Wang CJ, Lo YL, Huang CG, Kuo IC, Lin WN, Hsin LJ, Fang TJ, Li HY. Drug-Induced Sleep Computed Tomography-Directed Upper Airway Surgery for Obstructive Sleep Apnea: A Pilot Study. Otolaryngol Head Neck Surg. 2018 Sep 18:194599818800288.
2. Lee LA, Lo YL, Yu JF, Lee GS, Ni YL, Chen NH, Fang TJ, Huang CG, Cheng WN, Li HY*. Snoring sounds predict obstruction sites and surgical response in patients with obstructive sleep apnea hypopnea syndrome. Sci Rep. 2016;6(7):30629.
3. Chen WC, Lee LA (co-first), Chen NH, Fang TJ, Huang CG, Cheng WN, Li HY*. Treatment of snoring with positional therapy in patients with positional obstructive sleep apnea syndrome. Sci Rep 2015; 5(12):18188. Chen HC, Lee LA (co-first), Hsin LJ, Lin WN, Fang TJ, Huang CG, Li HY. Transverse retropalatal collapsibility is associated with obstructive sleep apnea severity and outcome of relocation pharyngoplasty. Otolaryngol Head Neck Surg 2015;153(6):1056-63.
4. Lee LA*, Li HY, Lin YS, Fang TJ, Huang YS, Hsu JF, Wu CM, Huang CG. Severity of childhood obstructive sleep apnea and hypertension improved after adenotonsillectomy. Otolaryngol Head Neck Surg 2015;152(3):553-6.
5. Lee LA, Yu JF, Lo YL, Chen NH, Fang TJ, Huang CG, Cheng WN, Li HY*. Comparative Effects of Snoring Sound between Two Minimally Invasive Surgeries in the Treatment of Snoring: A Randomized Controlled Trial. PLoS One 2014, 9(5):e97186.
Abstract：
Obstructive sleep apnea (OSA) is a common underdiagnosed disorder. Dynamic upper airway obstruction and/or collapse are common causes of adulthood OSA. Upper airway surgery is the main treatment of OSA in patients who are either intolerant or unwilling to undergo long-term continuous positive airway pressure therapy. More than 50% of patients with newly diagnosed OSA prefer to undergo soft tissue surgery for OSA. However, reductions in apnea-hypopnea index after soft tissue surgery range from 26% to 87%. Retropalatal, oropharyngeal and retroglossal obstruction are frequently encountered in OSA and need to be corrected. With the development of new surgical equipment, soft palate-, lateral pharynx-, and tongue-directed methods such as PEAK-assisted suspension palatoplasty, relocation pharyngoplasty, coblation endoscopic lingual lightening, tongue base suspension, and transoral robotic surgery (TORS) have become popular therapeutic options in the treatment of OSA. Recently, the feasibility, safety, and efficacy of these soft tissue surgeries for the treatment of OSA have been evaluated. This presentation will illustrate the fundamental concepts, patient evaluation, surgical technique, postoperative care, complications, and treatment outcome of soft tissue surgery in adulthood OSA.