講師資料
Talks:
Surgical Management of Obstructive Sleep Apnea
成人OSA的全方位治療
Name:
蔡明劭(Ming-Shao Tsai)
Position:
主任、教授
Affiliation:
嘉義長庚醫院 耳鼻喉部
Email:
Photo:
Research Interests:
1. Obstructive Sleep Apnea
2. Otorhinolaryngology
Dr. Tsai has published over 120 scientific articles and medical texts in his professional fields. Dr. Tsai is also the Editor of Asian Journal of Surgery, and Laryngoscope Taiwan Edition.
Selected Publications:
1. Ming‐Shao Tsai (1st author), Hsueh‐Yu Li, Chung‐Guei Huang, Robert YL Wang, Li‐Pang Chuang, Ning‐Hung Chen, Chi‐Hung Liu, Yao‐Hsu Yang, Chia‐Yen Liu, Cheng‐Ming Hsu, Wen‐Nuan Cheng, Li‐Ang Lee. Risk of Alzheimer's Disease in Obstructive Sleep Apnea Patients With or Without Treatment: Real-world Evidence. Laryngoscope. 2020 Feb 11. doi: 10.1002/lary.28558. Online ahead of print. (IF=2.471; R/C=7/42, 16.7%, Q1; Otorhinolaryngology)
2. Hsueh-Yu Li, Ming-Shao Tsai (Co-1st author), Chung-Guei Huang, Robert YL Wang, Li-Pang Chuang, Ning-Hung Chen, Chi-Hung Liu, Cheng-Ming Hsu, Wen-Nuan Cheng, Li-Ang Lee. Alterations in Alzheimer’s Disease-Associated Gene Expression in Severe Obstructive Sleep Apnea Patients. Journal of Clinical Medicine. 2019, 8(9):1361 (IF=5.688; R/C=15/160, 9.38%, Q1; Medicine, General & Internal)
3. Ming-Shao Tsai(1st author), Hung-Chin Chen, Stanley Yung-Chuan Liu, Li-Ang Lee, Cheng-Yu Lin , Geng-He Chang, Yao-Te Tsai, Yi-Chan Lee, Cheng-Ming Hsu, Hsueh-Yu Li. Holistic care for obstructive sleep apnea (OSA) with an emphasis on restoring nasal breathing: A review and perspective. Journal of the Chinese Medical Association. 2022 Jun 1;85(6):672-678. (IF=3.0 ; R/C=75/167, 44.9%, Q2; Medicine, General & Internal)
4. Ming-Shao Tsai(1st author), Hung-Chin Chen#, Hsueh-Yu Li, Yao-Te Tsai, Yao-Hsu Yang, Chia-Yen Liu, Yi-Chan Lee, Cheng-Ming Hsu, Li-Ang Lee. Sleep Apnea and Risk of Influenza-Associated Severe Acute Respiratory Infection: Real-World Evidence. Nature and Science of Sleep. 2022 May 10;14:901-909. (IF=3.4 ; R/C=90/212, 42.5%, Q2;Clinical Neurology)
5. Ming-Shao Tsai (1st author), Wen-Cheng Chen, Chang-Hsien Lu, Miao-Fen Chen*. The prognosis of head and neck squamous cell carcinoma related to immunosuppressive tumor microenvironment regulated by IL-6 signaling. Oral Oncology. 2019 Apr; 91:47-55. (IF=4.794; R/C=1/90, 1.1%, Q1; Dentistry, Oral Surgery & Medicine)
6. Ming-Shao Tsai (1st author), Li-Ang Lee, Yao-Te Tsai, Yao-Hsu Yang, Chia-Yen Liu, Meng-Hung Lin, Cheng-Ming Hsu MD, Chin-Kuo Chen, Hsueh-Yu Li MD*. Sleep Apnea and Risk of Vertigo: A Nationwide Population-Based Cohort Study. Laryngoscope. 2018 Mar;128:763-68. (IF=2.471; R/C=7/42, 16.7%, Q1; Otorhinolaryngology)
Abstract:
阻塞性睡眠呼吸中止症(OSA)為成人常見的睡眠相關疾病,與心血管、代謝、神經精神疾病等多系統病理高度相關。當正壓呼吸器治療(CPAP)順應性不足或病患無法耐受時,手術治療即成為重要選項。
本演講將以「全方位治療」為核心,系統性探討成人OSA的手術管理:
1. 治療決策:從臨床評估、內視鏡檢查及影像學檢測,建立個別化治療策略。
2. 手術技巧:介紹傳統與創新手術方法,包括多層次氣道手術、達文西機器人手術、功能性顎咽重建術等,並強調精準、安全與微創。
3. 術後照護:涵蓋疼痛控制、傷口修復、飲食與營養支持,提升病人術後舒適度與康復速度。
4. 維持保養:強調體重管理、生活型態調整與合併症監測,實踐長期健康維護。
藉由整合外科手術與預防醫學理念,本演講將展現如何將OSA治療從單純的症狀改善,提升到「全人治療」與「長期健康管理」的層次,最終達到減少疾病負擔、改善生活品質的目標。
2025年會: