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Healthcare
Special Issues
Management of Obstructive Sleep Apnoea
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Management of Obstructive Sleep Apnoea

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (30 June 2019) | Viewed by 23331

Special Issue Editor

Prof. Bhik T. Kotecha

E-Mail Website
Guest Editor
Royal National Throat, Nose and Ear Hospital, London, UK
Interests: evaluation and surgical treatment of sleep disordered breathing including obstructive sleep apnoea

Special Issue Information

Dear Colleagues,

This Special Issue will provide a comprehensive perspective on all aspects of obstructive sleep apnoea (OSA) and other sleep disordered breathing. This includes the patho-physiology of OSA and how it is diagnosed. It will cover all aspects of treatment modality ranging from simple lifestyle changes and appliances to surgery. Surgical intervention will address soft tissue surgery and will include minimally invasive radiofrequency surgery, laser surgery, trans-oral robotic surgery and upper airway hypoglossal nerve stimulation as well as the more aggressive skeletal framework surgery. Recent advances in mandibular advancement devices and CPAP therapy will also be covered.

Prof. Bhik T. Kotecha
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Obstructive sleep apnoea
  • Sleep studies
  • Drug-induced sleep endoscopy
  • Nasal CPAP
  • Mandibular advancement devices
  • Palatal surgery
  • Multi-level surgery
  • Trans-oral robotic surgery
  • Hypoglossal nerve stimulation

Published Papers (4 papers)

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Review

12 pages, 799 KiB  
Review
Oral Appliances in Obstructive Sleep Apnea
by Marijke Dieltjens and Olivier M. Vanderveken
Healthcare 2019, 7(4), 141; https://doi.org/10.3390/healthcare7040141 - 08 Nov 2019
Cited by 23 | Viewed by 7109
Abstract
Oral appliance therapy is increasingly prescribed as a non-invasive treatment option for patients diagnosed with obstructive sleep apnea. The custom-made titratable mandibular advancement devices (MAD) are the recommended type of oral appliances. Mandibular advancement devices are efficacious in reducing the severity of obstructive [...] Read more.
Oral appliance therapy is increasingly prescribed as a non-invasive treatment option for patients diagnosed with obstructive sleep apnea. The custom-made titratable mandibular advancement devices (MAD) are the recommended type of oral appliances. Mandibular advancement devices are efficacious in reducing the severity of obstructive sleep apnea, however, only to a lesser extent than standard therapy using continuous positive airway pressure (CPAP). Although oral appliance therapy is known to reduce the severity of obstructive sleep apnea in most of the patients, one out of three patients still show negligible improvement under MAD therapy. Therefore, the selection of the appropriate candidates for this therapy is imperative and several upfront prediction tools are described. Overall, the health outcome of mandibular advancement device therapy is similar to that of CPAP, probably due to the inferior compliance of CPAP compared to MAD therapy, resulting in similar clinical effectiveness. Full article
(This article belongs to the Special Issue Management of Obstructive Sleep Apnoea)
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5 pages, 207 KiB  
Review
Drug-Induced Sleep Endoscopy: Clinical Application and Surgical Outcomes
by Andrea De Vito, Giovanni Cammaroto, Khai Beng Chong, Marina Carrasco-Llatas and Claudio Vicini
Healthcare 2019, 7(3), 100; https://doi.org/10.3390/healthcare7030100 - 25 Aug 2019
Cited by 8 | Viewed by 3735
Abstract
The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer [...] Read more.
The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer recording, and endoscopic evaluation. Drug-induced sleep endoscopy (DISE) is a diagnostic tool that allows the dynamic, three-dimensional evaluation of the patterns of vibration and collapse of the upper airway of SDB patients. DISE may change the initial surgical planning in a high percentage of cases. A universally accepted and methodologically standardized DISE could provide significant insight into its role to improve surgical outcomes. However, up to now the ideal DISE protocol remains an open question. Full article
(This article belongs to the Special Issue Management of Obstructive Sleep Apnoea)
8 pages, 215 KiB  
Review
Minimally Invasive Radiofrequency Surgery in Sleep-Disordered Breathing
by Ankit Patel and Bhik Kotecha
Healthcare 2019, 7(3), 97; https://doi.org/10.3390/healthcare7030097 - 18 Aug 2019
Cited by 3 | Viewed by 4205
Abstract
Sleep-disordered breathing encompasses a spectrum of conditions ranging from simple snoring to obstructive sleep apnoea (OSA). Radiofrequency surgery represents a relatively new technique available to surgeons involved in managing this condition. Its principal advantage relates to its minimally invasive nature resulting in a [...] Read more.
Sleep-disordered breathing encompasses a spectrum of conditions ranging from simple snoring to obstructive sleep apnoea (OSA). Radiofrequency surgery represents a relatively new technique available to surgeons involved in managing this condition. Its principal advantage relates to its minimally invasive nature resulting in a reduced morbidity when compared to traditional sleep surgery. The presence of good-quality research evaluating the long-term outcomes is currently scarce, although the short-term data is promising. Careful patient selection appears to be paramount in obtaining a sustained improvement. The role of radiofrequency surgery in sleep-disordered breathing has been reviewed. Full article
(This article belongs to the Special Issue Management of Obstructive Sleep Apnoea)
9 pages, 2000 KiB  
Review
Drug-Induced Sleep Endoscopy: Technique, Indications, Tips and Pitfalls
by Marina Carrasco-Llatas, Silvia Matarredona-Quiles, Andrea De Vito, Khai Beng Chong and Claudio Vicini
Healthcare 2019, 7(3), 93; https://doi.org/10.3390/healthcare7030093 - 24 Jul 2019
Cited by 20 | Viewed by 7930
Abstract
Drug-induced sleep endoscopy (DISE) is a diagnostic tool to assess the upper airway of snorers and obstructive sleep apnea patients in conditions that mimic natural sleep. Although DISE appears simple and similar to awake endoscopy, there are many aspects that need to be [...] Read more.
Drug-induced sleep endoscopy (DISE) is a diagnostic tool to assess the upper airway of snorers and obstructive sleep apnea patients in conditions that mimic natural sleep. Although DISE appears simple and similar to awake endoscopy, there are many aspects that need to be standardized in order to obtain reliable and reproducible information. In this article, we will recommend how to reliably perform DISE, its indications, and how to obtain and interpret the information of the upper airway. Full article
(This article belongs to the Special Issue Management of Obstructive Sleep Apnoea)
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