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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2001 March;51(1):1-5
Surgical progress in obstructive sleep apnea syndrome (OSAS) treatment
Fusetti M., Chiti-Batelli S., Eibenstein A.
Università degli Studi - L’Aquila Dipartimento Scienze Chirurgiche Cattedra di Otorinolaringoiatria
The 60’s have been a fundamental decade for studying the physiology and disorders of sleep. The introduction of Polysomnography allowed a clear understanding of sleep phases and related pathologies. The growing interest towards this new field soon highlighted the key role played by sleep disorders in the pathogenesis of obstructive syndromes. Moreover, the increased awareness of OSAS consequences on cognitive functions, work performance and cardiovascular system, has stimulated the search of medical and surgical solutions, focused on correcting an insidious and complex disease rather than a simple and annoying symptom like snoring. In this regard the 80’s and the early 90’s have brought new knowledges, based on which different surgical techniques were developed and popularised. However, the improved understandings of OSAS physiopathology were only partially applied to clinical diagnostic criteria. This resulted in “airtight compartment” surgery that helped the spread of solutions often aimed to correct a single obstructive site. The last few years have faced a tendency to move in the opposite direction and therefore to privilege surgical options that could address OSAS, mostly moderate and severe, as a multilevel disease.