{"title":"Posterior Midline Glossectomy","authors":"Steven Coutras MD, FACS","doi":"10.1016/j.otot.2023.09.009","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Surgical treatment of obstructive sleep apnea<span><span> in children who fail tonsillectomy and </span>adenoidectomy<span>, or in those children with small nonobstructing tonsils is performed infrequently. Further evaluation including </span></span></span>drug induced sleep </span>endoscopy<span> may uncover residual upper airway obstruction<span> at the tongue<span> base. When this finding is identified, targeted treatment of tongue base obstruction can be performed. A straight forward easy to perform tongue reduction procedure with minimal complications and good clinical outcomes when part of a multi-level approach is described.</span></span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages 185-189"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Otolaryngology - Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043181023000490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Surgical treatment of obstructive sleep apnea in children who fail tonsillectomy and adenoidectomy, or in those children with small nonobstructing tonsils is performed infrequently. Further evaluation including drug induced sleep endoscopy may uncover residual upper airway obstruction at the tongue base. When this finding is identified, targeted treatment of tongue base obstruction can be performed. A straight forward easy to perform tongue reduction procedure with minimal complications and good clinical outcomes when part of a multi-level approach is described.
期刊介绍：
This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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