caa a22 4500 475848756 CHVBK 20180406123922.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004050000278 doi (NATIONALLICENCE)springer-10.1007/s004050000278 Long-term results in the treatment of obstructive sleep apnea [Elektronische Daten] [W. Pirsig, Thomas Verse] No recent update is available on long-term results of the various types of treatment of obstructive sleep apnea (OSA) which can help the physician in evaluating the individually tailored treatment for patients with OSA in the long term. We arbitrarily defined "long-term” results as those after at least 3 years and reviewed the literature from the past 25 years for reports on conservative, apparative, and surgical therapy of OSA in children and adults. Another inclusion criterion was that the diagnosis was also confirmed by polysomnography before treatment and at follow-up. Only relatively few long-term studies meeting the criteria of ‘evidence based medicine' were found, comparing the findings of these was difficult or impossible due to varying criteria for success. Long-term data were available about the effect of weight reduction, nasal ventilation therapy, oral devices, tonsillectomy, uvulopalatopharyngoplasty, maxillomandibular advancement osteotomies, and tracheotomy. After approx. 25 years many treatment modalities in sleep medicine are still experimental concerning the long-term use for the individual. In particular, randomized controlled trials in surgery are lacking. Late results show that at least 50% of patients with OSA can be treated effectively by one or a combination of treatments. Nasal continuous positive airway pressure, tracheotomy, maxillomandibular advancement osteotomy, and tonsillectomy are the most effective treatments of OSA. Springer-Verlag Berlin Heidelberg, 2000 Keywords Obstructive sleep apnea nationallicence Therapy nationallicence Surgery nationallicence Long-term results nationallicence Pirsig W. Universitäts-HNO-Klinik Ulm, Sektion Rhinologie und Rhonchopathien, Prittwitzstrasse 43; 89075 Ulm, Germany e-mail: wolfgang.pirsig@medizin.uni-ulm.de, Tel.: +49-731-5027511, Fax: +49-731-5033155 aut Verse Thomas Universitäts-HNO-Klinik Ulm, Sektion Rhinologie und Rhonchopathien, Prittwitzstrasse 43; 89075 Ulm, Germany e-mail: wolfgang.pirsig@medizin.uni-ulm.de, Tel.: +49-731-5027511, Fax: +49-731-5033155 aut https://doi.org/10.1007/s004050000278 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004050000278 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pirsig W. Universitäts-HNO-Klinik Ulm, Sektion Rhinologie und Rhonchopathien, Prittwitzstrasse 43; 89075 Ulm, Germany e-mail: wolfgang.pirsig@medizin.uni-ulm.de, Tel.: +49-731-5027511, Fax: +49-731-5033155 aut NATIONALLICENCE 700 1- Verse Thomas Universitäts-HNO-Klinik Ulm, Sektion Rhinologie und Rhonchopathien, Prittwitzstrasse 43; 89075 Ulm, Germany e-mail: wolfgang.pirsig@medizin.uni-ulm.de, Tel.: +49-731-5027511, Fax: +49-731-5033155 aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer