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Surgical management of airway obstructions during sleep
Author(s) -
Simmons F. Blair,
Guilleminault C.,
Dement W. C.,
Tilkian Ara G.,
Hill M.
Publication year - 1977
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197703000-00005
Subject(s) - airway , medicine , somnolence , sleep (system call) , intensive care medicine , anesthesia , adverse effect , computer science , operating system
Anatomical or physiological airway obstructions during sleep, of which the patient is unaware, cause daytime sleepiness at first, then signs of decreasing mental function, and eventually in some individuals, pulmonary and systemic hypertension. A few of these patients had been recognized before, the Pickwickian syndrome and in children with cardiac problems and large tonsils. The majority, however, present as sleep disorders. This paper describes our surgical experience with improving the airways of 19 children and adults with daytime somnolence.