Surgical Innovations and New Technologies for Sleep-Related Breathing Disorders

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: 28 April 2026 | Viewed by 932

Special Issue Editors


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Guest Editor
Fondazione Policlinico, Campus Bio-Medico University, 00128 Rome, Italy
Interests: Sleep apnea and snoring; chronic rhinosinusitis; surgical innovation
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E-Mail Website
Guest Editor
School of Medicine, Campus Bio-Medico University, Fondazione Policlinico Campus Bio-Medico, Via A. del Portillo 200, 00128 Rome, Italy
Interests: sinusitis; sleep apnea syndrome; rhinology; new surgical devices in ENT
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Obstructive sleep apnea (OSA) is the most common form of sleep-related breathing disorder. It is caused by complete or partial obstruction of the upper airway, has been demonstrated to be a risk factor for several diseases, and has been correlated with other non-medical consequences that increase OSA’s clinical and economic burden. According to several population-based studies, the prevalence of OSA(S) is relatively high, at approximately 3–7% for adult males and 2–5% for adult females in the general population.

Although OSA is very common, it is a frequently unrecognized cause of serious disability, with serious health and social consequences.  Currently, OSA can be diagnosed with several methods from laboratory-based to home sleep testing. To date, the gold standard method is full-night polysomnography (PSG). However, it is an expensive examination (equipment, maintenance costs, staff costs, and full-night-time occupation of the laboratory), and it can also be bothersome due to the attached sensors and the exam taking place in an unfamiliar place. For these reasons, cheaper and portable devices have been developed to detect OSA outside the hospital setting. Continuous positive airway pressure (CPAP) is often used as first-line treatment; however, failure in long-term adherence to CPAP treatment was reported in 25–50% of cases. For these reasons, in recent years, OSA and snoring surgical management underwent significant changes with the introduction of new minimally invasive surgical procedures, making OSA surgery a reasonable alternative.

We encourage authors to submit original or review articles on related topics in the field of sleep apnea. This Special Issue of Healthcare is dedicated to offering an overview of these innovations. Topics of interest include (1) new diagnostic tools for screening, (2) telemedicine and mHealth, (3) new intrapharyngeal and hypopharyngeal surgical procedures, (4) surgical and non-surgical treatment of nasal obstruction in OSA patients, (5) myofunctional and rehabilitation therapy, (6) electrical stimulation devices, (7) multimodality treatment, and (8) international research networks.

Groups from all specialties are encouraged to submit original research, project reports, short reports, reviews, and opinion papers.

We look forward to receiving your contributions.

Dr. Antonio Moffa
Prof. Dr. Manuele Casale
Guest Editors

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Keywords

  • sleep apnea
  • snoring
  • sleep-related breathing disorders
  • new technologies
  • surgical innovations
  • myofunctional therapy
  • positional therapy
  • mandibular advancement device and multimodality treatment

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Published Papers (1 paper)

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Research

15 pages, 3173 KiB  
Article
The Impact and Burden of Chronic Rhinosinusitis with Nasal Polyps on Patients and Their Family Caregivers: A Nationally Representative Survey
by Luca Malvezzi, Veronica Seccia, Antonio Moffa, Frank Rikki Mauritz Canevari, Ilaria Baiardini, Simona Barbaglia, Mattia Battistini, Eleonora Cantoni, Filippo Cipriani, Marta Pirronello, Giovanna Sala, Annalisa Stassaldi and Eugenio De Corso
Healthcare 2025, 13(4), 430; https://doi.org/10.3390/healthcare13040430 - 17 Feb 2025
Viewed by 698
Abstract
Background: Chronic rhinosinusitis with nasal polyps (CRSwNPs) is a chronic inflammatory disease associated with frustrating symptoms, particularly nasal obstruction and loss of smell. We conducted a patient survey on the significant burden of the disease, with a specific focus on conditions that affect [...] Read more.
Background: Chronic rhinosinusitis with nasal polyps (CRSwNPs) is a chronic inflammatory disease associated with frustrating symptoms, particularly nasal obstruction and loss of smell. We conducted a patient survey on the significant burden of the disease, with a specific focus on conditions that affect health, sleep quality, absenteeism, and presenteeism, including the caregivers’ perspectives. Methods: An online questionnaire was sent to 4230 randomly selected recipients, and 200 matched the inclusion criteria for self-reported CRSwNPs symptoms. A total of 100 participants not matching the inclusion criteria for CRSwNPs were recruited as a control group. The study also collected the perspectives of 50 caregivers. Results: Patients with CRSwNPs experienced very bothersome symptoms, such as nasal congestion, headache, and rhinorrhoea, with a profound impact on their health-related quality of life (HRQoL). The patients and their caregivers showed significantly lower quality of sleep, experiencing a poor night’s sleep on average 72.1 and 51.7 days per year, respectively. Smell and taste impairments significantly impacted patients’ social and working lives, with 39.5% feeling in danger because of hyposmia and 34.5% because of limited taste. Out-of-pocket costs were up to EUR 40/month for 68.5% of patients. CRSwNPs alone was responsible for an average of 24.7 days of absenteeism and 25.1 days of presenteeism. Conclusions: Our results highlight how CRSwNPs has a negative impact on patients’ and caregivers’ HRQoL. Most bothersome and health-conditioning symptoms involve nose symptoms and poor sleep quality, resulting in patient absenteeism and presenteeism with a strong burden on cognitive and emotional functioning for both patients and their caregivers. Full article
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