Obstructive Sleep Apnea In The Irradiated Head And Neck Cancer Patient

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Point of Care

patient with severe obstructive sleep apnea. Note the restricted posterior airway space (arrows). Figure 1b:Postoperative cephalogram showing a positive change in size of the pos-terior airway space (arrows) after maxillo-mandibular advancement surgery. The patient is now free of apnea and no longer depen-dent on continous positive airway pressure.


plasmacytoma: Tumor occurrence and therapeutic concepts. Cancer 85:2305-2314, 1999 5. Byrd RP Jr, Roy TM, Bentz W, et al: Plasmacytoma as a cause of obstructive sleep apnea. Chest 109:1657-1659


tilation, obstructive sleep apnea, and difficult intubation (Fig. 15). It is an adjust-able oropharyngeal airway with two components: a rigid outer tube that serves as a conduit for and protects the second component, the flexible inner tube that creates a patent air passage from the mouth opening to the glottis. In conjunc-


EXTREMITY HEAD & NECK FEMALE PELVIS MALE PELVIS SKIN THORAX GYNECOLOGICAL BRACHYTHERAPY (Internal Radiation Therapy) 4. I (we) further authorize the taking of photographs or placing of tattoo or skin marks necessary for treatment. 5.

Type I Thyroplasty: A Safe Outpatient Procedure

Otolaryngology Head and Neck Surgery, Stanford University Medical Center, were included in the initial database extraction. Variables evaluated included the following: etiology of glottic From the Department of Otolaryngology Head and Neck Surgery (E.J.D.), Stanford University School of Medicine, Palo Alto, California, U.S.A.;


remember that a patient with cancer in areas other than the head and neck area may also be a difficult airway. Over time, a cancer patient will, of course, retain the same identity, but may possess a different airway. Because head and neck cancer patients will change in presentation over time, such patients need to be evaluated each and every time


exams obstructive sleep apnea syndrome was also found. The patient reported having been affected by SCC, diagnosed and treated 18 years ago with radio and chemotherapy associated with partial resection of the mandible and adjacent structures, as well as partial right neck dissection, without recurrences.


obstructive sleep apnoea,it is expensive and not widely available. The small number of sleep centres with trained paediatric staff coupled with increasing public demand for childhood sleep evaluations have strained resources. Alternative methods of diagnosing childhood obstructive sleep apnoea therefore need consideration.


Obstructive Sleep Apnea 1017 Kevin J. Kovatch, Syed Ahmed Ali, and Paul T. Hoff Introduced in 2010, transoral robotic surgery (TORS) is recognized as an effective treatment of moderate to severe obstructive sleep apnea (OSA) in the setting of lymphoid and muscular tongue base hypertrophy. Up-

Panoramic radiology and the detection of carotid atherosclerosis

panoramic radiographs for head and neck cancer patients prior to irradiation to be 7% giving further support to irradiation promoting carotid artery atherosclerosis. 11 Friedlander et al. (1999) studied the prevalence of carotid atheroma in male patients with obstructive sleep apnea. 12 Detectable carotid atheroma was found in 22 % of the

Non-Temperatured Controlled Radiofrequency in the Treatment

Snoring is an initial end of sleep disorder breathing (SDB) spectrum. It can lead to terminal end, obstructive sleep apnea syndrome. Treatments comprise of non-surgical and surgical treatments, and surgical treatment is an alternative when non-surgical treatment fails.

Chair s Message

at the AHNS 9th International Conference on Head and Neck Cancer in Seattle on July 18, 2016 (Loulay Kitchen and Bar, 6-8 pm). I hope many of you will be able to attend one of our alumni events to reconnect with friends and colleagues from around the globe. Spring 2016