Ewha Med J.  2013 Sep;36(2):93-96. 10.12771/emj.2013.36.2.93.

Surgical Management for Obstructive Sleep Apnea Syndrome

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine, Seoul, Korea. seungsin2@ewha.ac.kr


Obstructive sleep apnea syndrome (OSAS) is caused by repetitive upper-airway narrowing or collapse during sleep resulting in hypopneas and apneas. When a patient is diagnosed of OSAS with polysomnogram, he/she should receive upper airway evaluation to find the narrow site. The anatomic narrow site can be nasal cavity, nasopharynx, oropharynx, and/or hypopharynx. Surgical treatment for OSAS should be tailored to the anatomic narrow site. In this article, the authors describe surgical treatment options for OSAS.


Apnea; Hypopnea; Obstructive sleep apnea syndrome; Polysomnogram; Surgery

MeSH Terms

Nasal Cavity
Sleep Apnea, Obstructive*


  • Fig. 1 Surgical protocol for patients with OSAS. Surgical treatment options are tailored to the site of obstruction. More invasive surgery is reserved for surgical failure in phase I surgery. This protocol is modified from Stanford protocol [13]. UPPP, uvulopalatopharyngoplasty; GA, genioglossus advancement; HS, hyoid suspension; MMA, maxillomandibular advancement; TBR, tongue base reduction.


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