[Tongue and epiglottis surgery in the treatment of obstructive sleep apnea syndrome].

Abstract

This literature review describes treatments for obstructive sleep apnea syndrome (OSAS) caused by the collapse of the upper respiratory tract soft tissue. The authors emphasize the importance of a thorough examination of patients, including sleep video endoscopy (SVE), to determine the exact level of obstruction and select the optimal surgical strategy. The paper addresses various methods of surgical intervention on the tongue base and epiglottis, including submucosal minimally invasive lingual excision (SMILE), transoral robotic surgery (TORS), low-temperature coblation of the tongue base (LTBR), etc. Indications for surgery on the tongue base and epiglottis are analyzed, as well as the advantages and disadvantages of surgical methods compared to traditional therapy with constant positive airway pressure (CPAP). The results of the literature review support using tongue base and epiglottis surgery in certain adult patients with snoring and OSAS.