Vol.96 No.12 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 96 No.12 December 2003
The Role of the Otorhinolaryngologist in Treating
Sleep-related Breathing Disorders
Shigeru Higami
(Tottori university Faculty, Univeisity of Manitoba)
Hiroya Kitano
(Tottori university Faculty)
Mass communications have seriously reported the dangers of Sleep Apnea Syndrome and this disease has become widely known among the general population. Extensive research into daytime sleepiness due to sleep-related breathing disorders had shown that this condition causes decreased work efficiency and contributes to traffic accidents. Moreover, the treatment expenses of high blood pressure, heart disease, and diabetes, which occur secondarily to sleep-related breathing disorders negatively influence the medical economy. However, the clinical level of sleep medicine in Japan is obviously behind that in North America, and progress should be accelerated for the benefit not only of the individual but also of the society. Otolaryngologists often encounter this disease and may perform surgical treatment, but recently, evaluation of the upper airway morphology has been considered essential for continuous positive airway pressure therapy and oral appliance. We think that the the role of the otolaryngologist will become increasingly important in treatings this disease, for each patient to be able to choose the optional treatment for their individual condition.
Key words : Sleep-related breathing disorders, upper airway evaluation, continuous positive airway pressure