| Talks： |
Efficacy and limitations of palatopharyngeal surgery in the management of obstructive sleep apnea
顎咽手術治療阻塞型睡眠呼吸中止症之療效與侷限性探討 |
| Name： |
| 邱逢翔（Feng-hsiang Chiu） |
| Position： |
| Attending Physician |
| Affiliation： |
| Department of Otolaryngology Head and Neck Surgery, Tri-service General Hospital, National Defense Medical University |
| Email： |
|
| Photo： |
 |
| Research Interests： |
| Obstructive sleep apnea, Drug-induced sleep endoscopy in obstructive sleep apnea, Feasibility of AI analysis to drug-induced sleep endoscopy |
| Selected Publications： |
| Wang Y, Chiu FH. Impact of obstructive sleep apnea on clinical outcomes of hospitalization due to influenza in children: A propensity score-matched analysis of the US Nationwide Inpatient Sample 2005-2018. Pediatric Pulmonol. 2024 Jun;59(6):1652-1660 |
| Abstract： |
Palatopharyngoplasty is a cornerstone of obstructive sleep apnea (OSA) treatment, yet clinical outcomes vary significantly. This presentation utilizes drug-induced sleep endoscopy (DISE) findings and intraoperative anatomical variations to investigate why these surgical outcomes differ among patients.
On the efficacy side, well-selected candidates experience substantial relief, characterized by a significant drop in AHI, improved oxygen saturation, and enhanced daytime alertness due to reliable retropalatal airway expansion.
However, the surgery faces critical limitations. The primary barrier to success is unaddressed multilevel obstruction, particularly concomitant tongue base collapse or severe hypopharyngeal narrowing. Furthermore, DISE reveals that lateral or concentric collapse patterns at the palate level respond poorly compared to simple anteroposterior collapse.
In conclusion, palatopharyngoplasty is not a one-size-fits-all solution. Precise patient selection and comprehensive airway evaluation are paramount to avoiding surgical failures and optimizing long-term therapeutic outcomes.
|
| 2026年會： |
|
|