Surgical management of obstructive sleep apnoea: A position statement of the Australasian Sleep Association

Stuart G MacKay; Richard Lewis; Doug McEvoy; Simon Joosten; Nicolette R Holt

doi:10.1111/resp.13967

Surgical management of obstructive sleep apnoea: A position statement of the Australasian Sleep Association

Respirology. 2020 Dec;25(12):1292-1308. doi: 10.1111/resp.13967. Epub 2020 Nov 15.

Authors

Stuart G MacKay^{1

2

3}, Richard Lewis^{4

5}, Doug McEvoy^{6

7}, Simon Joosten^{8

9}, Nicolette R Holt^{10

11}

Affiliations

¹ University of Wollongong, Wollongong, NSW, Australia.
² Illawarra ENT Head and Neck Clinic, Wollongong, NSW, Australia.
³ Department of Otolaryngology Head and Neck Surgery, The Wollongong Hospital, Wollongong, NSW, Australia.
⁴ Hollywood Medical Centre, Perth, WA, Australia.
⁵ Department of Otolaryngology Head and Neck Surgery, Royal Perth Hospital, Perth, WA, Australia.
⁶ Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
⁷ Respiratory and Sleep Service, Southern Adelaide Local Health Network, Adelaide, SA, Australia.
⁸ Monash Lung and Sleep, Monash Health, Monash Medical Centre, Melbourne, VIC, Australia.
⁹ School of Clinical Sciences, Melbourne, VIC, Australia.
¹⁰ The Royal Melbourne Hospital, Melbourne, VIC, Australia.
¹¹ Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.

Abstract

Surgery for adult obstructive sleep apnoea (OSA) plays a key role in contemporary management paradigms, most frequently as either a second-line treatment or in a facilitatory capacity. This committee, comprising two sleep surgeons and three sleep physicians, was established to give clarity to that role and expand upon its appropriate use in Australasia. This position statement has been reviewed and approved by the Australasian Sleep Association (ASA) Clinical Committee.

Keywords: airway; clinical sleep medicine; nasendoscopy; sleep apnoea; surgery.

MeSH terms

Adult
Australasia / epidemiology
Endoscopy / methods*
Humans
Interdisciplinary Communication
Otorhinolaryngologic Surgical Procedures / methods*
Patient Care Management / methods
Perioperative Care / methods*
Postoperative Complications* / classification
Postoperative Complications* / etiology
Sleep Apnea, Obstructive* / epidemiology
Sleep Apnea, Obstructive* / surgery