The Laryngoscope
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To systematically review the international literature evaluating the role of the epiglottis in snoring and obstructive sleep apnea and to explore possible treatment options available. ⋯ NA.
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All commonly-used anaesthetic agents cause some degree of upper airway collapse, although dexmedetomidine probably has the least impact.
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Review Case Reports
Unusual airway complication after percutaneous tracheotomy: case report and literature review.
We report a case of a 59-year-old male who experienced tracheoesophageal fistula and grade IV subglottic stenosis after percutaneous dilation tracheotomy. Although percutaneous tracheotomy is considered a safe procedure that is often performed in the intensive care unit setting, it is not without complications. While subglottic stenosis and tracheoesophageal fistula are known complications of percutaneous tracheotomy, this report discusses a patient who experienced both complications simultaneously. The purpose of this report is to discuss potential serious complications of percutaneous tracheotomy and their management, and to review the literature on percutaneous tracheotomy complications. ⋯ NA
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Review Meta Analysis
Hypoglossal nerve stimulation in the treatment of obstructive sleep apnea: A systematic review and meta-analysis.
Poor adherence to continuous positive airway pressure treatment in obstructive sleep apnea (OSA) adversely affects the effectiveness of this therapy. This study aimed to systematically review the evidence regarding the efficacy and safety of hypoglossal nerve stimulation as an alternative therapy in the treatment of OSA. ⋯ NA