Advertisement

Somnologie

, Volume 23, Issue 3, pp 178–208 | Cite as

S3-Leitlinie „Diagnostik und Therapie des Schnarchens des Erwachsenen“

Vorgelegt von der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie. Stand: März 2019
  • Boris A. StuckEmail author
  • Bert Braumann
  • Clemens Heiser
  • Michael Herzog
  • Joachim T. Maurer
  • Sebastian Plößl
  • Armin Steffen
  • J. Ulrich Sommer
  • Thomas Verse
  • Benedikt Hofauer
Leitlinien
  • 42 Downloads

Beteiligte und Institutionen

Deutsche Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie

Prof. Dr. med. Boris A. Stuck, Marburg

PD Dr. med. Clemens Heiser, München

PD Dr. med. Michael Herzog, Cottbus

PD Dr. med. Benedikt Hofauer, Freiburg

Prof. Dr. med. Joachim T. Maurer, Mannheim

Dr. Sebastian Plößl, Halle (Saale)

Prof. Dr. med. J. Ulrich Sommer, Wuppertal

PD Dr. med. Armin Steffen, Lübeck

Prof. Dr. med. Thomas Verse, Hamburg

Deutsche Gesellschaft für Schlafforschung und Schlafmedizin

Prof. Dr. med. M. Orth, Mannheim

Deutsche Gesellschaft für Mund‑, Kiefer- und Gesichtschirurgie

Prof. Dr. med. H. Pistner, Erfurt

Deutsche Berufsverband der Hals-Nasen-Ohrenärzte

Dr. med. G. Gronke, Blankenfelde

Deutsche Gesellschaft für Zahn‑, Mund- und Kieferheilkunde

Prof. Dr. med. B. Braumann, Köln

Deutsche Gesellschaft zahnärztliche Schlafmedizin

Dr. med. M. Heise, Bochum

Bundesverband Schlafapnoe und Schlafstörungen Deutschlands e.V.

W. Waldmann, Ostfildern

Inhaltsverzeichnis

1.

Zusammenfassung...

S3 Guideline “Diagnosis and therapy of snoring in adults”

Submitted by the German Society for Othorhinolaryngology, Head and Neck Surgery. Date of publication: March 2019

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

S. Tab. 2 im Anhang.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Supplementary material

11818_2019_211_MOESM1_ESM.docx (46 kb)
19. Online-Anhang. 19.1 DELBI-Bewertung vorhandener Leitlinien. 19.2 AMSTAR-Bewertung vorhandener systematischer Übersichtsarbeiten. 19.3 Suchstrategien für die Literatursuche. 19.4 Ausschlussgründe im Rahmen der Volltextsuche. Evidenztabelle 1: Diagnostik. Evidentzabelle 2: Konservative Therapie. Evidenztabelle 3: Intraorale Geräte. Evidenztabelle 4: Chirurgische Therapie der Nase. Evidenztabelle 5: Chirurgische Therapie des Weichgaumens

Literatur

  1. 1.
    Stuck BA, Dreher A, Heiser C, Herzog M, Kühnel T et al (2013) Sk2 guidelines “diagnosis and therapy of snoring in adults”: compiled by the sleep medicine working group of the German Society of Otorhinolaryngology, Head and Neck Surgery. HNO 61:944–957CrossRefGoogle Scholar
  2. 2.
    Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG et al (2015) Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: an update for 2015. J Clin Sleep Med 11:773–827Google Scholar
  3. 3.
    Bäck LJ, Hytönen ML, Roine RP, Malmivaara AO (2009) Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope 119:1241–1250CrossRefGoogle Scholar
  4. 4.
    Franklin KA, Anttila H, Axelsson S, Gislason T, Maasilta P et al (2009) Effects and side-effects of surgery for snoring and obstructive sleep apnea—a systematic review. Sleep 32:27–36Google Scholar
  5. 5.
    Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Plos Med 6:e1000097CrossRefGoogle Scholar
  6. 6.
    Stuck BA (2014) Editorial: Schnarchen – Trivalität oder Mysterium? Somnologie (Berl) 18:72–74CrossRefGoogle Scholar
  7. 7.
    Stuck BA, Weeß HG (2015) Die neue „International Classification of Sleep Disorders“. Eine kritische Würdigung der diagnostischen Kriterien für schlafbezogene Atmungsstörungen. Somnologie (Berl) 19:126–132CrossRefGoogle Scholar
  8. 8.
    Medicine AAOS (2014) International classification of sleep disorders. American Academy of Sleep Medicine, DarienGoogle Scholar
  9. 9.
    Hoffstein V (2005) Snoring and upper airway resistance. In: Kryger M, Roth T, Dement WC (Hrsg) Principles and practice of sleep medicine. Elsevier Saunders, Philadelphia, S 1001–1012CrossRefGoogle Scholar
  10. 10.
    Ohayon MM, Guilleminault C, Priest RG, Caulet M (1997) Snoring and breathing pauses during sleep: telephone interview survey of a United Kingdom population sample. BMJ 314:860–863CrossRefGoogle Scholar
  11. 11.
    Chan CH, Wong BM, Tang JL, Ng DK (2012) Gender difference in snoring and how it changes with age: systematic review and meta-regression. Sleep Breath 16:977–986CrossRefGoogle Scholar
  12. 12.
    Knuiman M, James A, Divitini M, Bartholomew H (2006) Longitudinal study of risk factors for habitual snoring in a general adult population: the Busselton Health Study. Chest 130:1779–1783CrossRefGoogle Scholar
  13. 13.
    Carmelli D, Bliwise DL, Swan GE, Reed T (2001) Genetic factors in self-reported snoring and excessive daytime sleepiness: a twin study. Am J Respir Crit Care Med 164:949–952CrossRefGoogle Scholar
  14. 14.
    Franklin KA, Gíslason T, Omenaas E, Jõgi R, Jensen EJ et al (2004) The influence of active and passive smoking on habitual snoring. Am J Respir Crit Care Med 170:799–803CrossRefGoogle Scholar
  15. 15.
    Lindberg E, Taube A, Janson C, Gislason T, Svärdsudd K, Boman G (1998) A 10-year follow-up of snoring in men. Chest 114:1048–1055CrossRefGoogle Scholar
  16. 16.
    Spörndly-Nees S, Åsenlöf P, Theorell-Haglöw J, Svensson M, Igelström H, Lindberg E (2014) Leisure-time physical activity predicts complaints of snoring in women: a prospective cohort study over 10 years. Sleep Med 15:415–421CrossRefGoogle Scholar
  17. 17.
    Young T, Finn L, Palta M (2001) Chronic nasal congestion at night is a risk factor for snoring in a population-based cohort study. Arch Intern Med 161:1514–1519CrossRefGoogle Scholar
  18. 18.
    Teculescu D, Hannhart B, Cornette A, Montaut-Verient B, Virion JM, Michaely JP (2001) Prevalence of habitual snoring in a sample of French males. Role of “minor” nose-throat abnormalities. Respiration 68:365–370CrossRefGoogle Scholar
  19. 19.
    Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A et al (2011) Risk factors for snoring among Japanese men and women: a community-based cross-sectional study. Sleep Breath 15:63–69CrossRefGoogle Scholar
  20. 20.
    Chang JL, Kezirian EJ (2013) What are the health risks of untreated snoring without obstructive sleep apnea. Laryngoscope 123:1321–1322CrossRefGoogle Scholar
  21. 21.
    Marin JM, Carrizo SJ, Vicente E, Agusti AG (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365:1046–1053CrossRefGoogle Scholar
  22. 22.
    Lee SA, Amis TC, Byth K, Larcos G, Kairaitis K et al (2008) Heavy snoring as a cause of carotid artery atherosclerosis. Sleep 31:1207–1213Google Scholar
  23. 23.
    Cho JG, Witting PK, Verma M, Wu BJ, Shanu A et al (2011) Tissue vibration induces carotid artery endothelial dysfunction: a mechanism linking snoring and carotid atherosclerosis. Sleep 34:751–757CrossRefGoogle Scholar
  24. 24.
    Li M, Li K, Zhang XW, Hou WS, Tang ZY (2015) Habitual snoring and risk of stroke: A meta-analysis of prospective studies.(letter). Int J Cardiol 185:46–49CrossRefGoogle Scholar
  25. 25.
    Virkkula P, Maasilta P, Hytönen M, Salmi T, Malmberg H (2003) Nasal obstruction and sleep-disordered breathing: the effect of supine body position on nasal measurements in snorers. Acta Otolaryngol 123:648–654CrossRefGoogle Scholar
  26. 26.
    Dreher A, de la Chaux R, Klemens C, Werner R, Baker F et al (2005) Correlation between otorhinolaryngologic evaluation and severity of obstructive sleep apnea syndrome in snorers. Arch Otolaryngol Head Neck Surg 131:95–98CrossRefGoogle Scholar
  27. 27.
    Svensson M, Holmstrom M, Broman JE, Lindberg E (2006) Can anatomical and functional features in the upper airways predict sleep apnea? A population-based study in females. Acta Otolaryngol 126:613–620CrossRefGoogle Scholar
  28. 28.
    Balsevičius T, Uloza V, Sakalauskas R, Miliauskas S (2012) Peculiarities of clinical profile of snoring and mild to moderate obstructive sleep apnea-hypopnea syndrome patients. Sleep Breath 16:835–843CrossRefGoogle Scholar
  29. 29.
    Herzog M, Metz T, Schmidt A, Bremert T, Venohr B et al (2006) The prognostic value of simulated snoring in awake patients with suspected sleep-disordered breathing: introduction of a new technique of examination. Sleep 29:1456–1462CrossRefGoogle Scholar
  30. 30.
    Steinhart H, Kuhn-Lohmann JC, Gewalt K, Constantinidis J, Mertzlufft F et al (2000) Pharyngolaryngoscopic findings in patients with obstructive sleep apnea syndrome and primary snoring. HNO 48:917–921CrossRefGoogle Scholar
  31. 31.
    den Herder C, van Tinteren H, de Vries N (2005) Sleep endoscopy versus modified Mallampati score in sleep apnea and snoring. Laryngoscope 115:735–739CrossRefGoogle Scholar
  32. 32.
    Liao YF, Huang CS, Chuang ML (2003) The utility of cephalometry with the Muller maneuver in evaluating the upper airway and its surrounding structures in Chinese patients with sleep-disordered breathing. Laryngoscope 113:614–619CrossRefGoogle Scholar
  33. 33.
    Akpinar ME, Celikoyar MM, Altundag A, Kocak I (2011) The comparison of cephalometric characteristics in nonobese obstructive sleep apnea subjects and primary snorers cephalometric measures in nonobese OSA and primary snorers. Eur Arch Otorhinolaryngol 268:1053–1059CrossRefGoogle Scholar
  34. 34.
    Osborne JE, Osman EZ, Hill PD, Lee BV, Sparkes C (1999) A new acoustic method of differentiating palatal from non-palatal snoring. Clin Otolaryngol Allied Sci 24:130–133CrossRefGoogle Scholar
  35. 35.
    Agrawal S, Stone P, McGuinness K, Morris J, Camilleri AE (2002) Sound frequency analysis and the site of snoring in natural and induced sleep. Clin Otolaryngol Allied Sci 27:162–166CrossRefGoogle Scholar
  36. 36.
    Saunders NC, Tassone P, Wood G, Norris A, Harries M, Kotecha B (2004) Is acoustic analysis of snoring an alternative to sleep nasendoscopy. Clin Otolaryngol Allied Sci 29:242–246CrossRefGoogle Scholar
  37. 37.
    Jones TM, Swift AC, Calverley PM, Ho MS, Earis JE (2005) Acoustic analysis of snoring before and after palatal surgery. Eur Respir J 25:1044–1049CrossRefGoogle Scholar
  38. 38.
    Brietzke SE, Mair EA (2006) Acoustical analysis of snoring: can the probability of success be predicted. Otolaryngol Head Neck Surg 135:417–420CrossRefGoogle Scholar
  39. 39.
    Herzog M, Schmidt A, Bremert T, Herzog B, Hosemann W, Kaftan H (2008) Analysed snoring sounds correlate to obstructive sleep disordered breathing. Eur Arch Otorhinolaryngol 265:105–113CrossRefGoogle Scholar
  40. 40.
    Herzog M, Kühnel T, Bremert T, Herzog B, Hosemann W, Kaftan H (2009) The impact of the microphone position on the frequency analysis of snoring sounds. Eur Arch Otorhinolaryngol 266:1315–1322CrossRefGoogle Scholar
  41. 41.
    Hessel NS, de Vries N (2003) Results of uvulopalatopharyngoplasty after diagnostic workup with polysomnography and sleep endoscopy: a report of 136 snoring patients. Eur Arch Otorhinolaryngol 260:91–95Google Scholar
  42. 42.
    Xu HJ, Jia RF, Yu H, Gao Z, Huang WN et al (2015) Investigation of the Source of Snoring Sound by Drug-Induced Sleep Nasendoscopy. ORL J Otorhinolaryngol Relat Spec 77:359–365CrossRefGoogle Scholar
  43. 43.
    Mayer G, Arzt M, Braumann B, Ficker JH, Fietze I et al (2017) German S3 Guideline Nonrestorative Sleep/Sleep Disorders, chapter “Sleep-Related Breathing Disorders in Adults,” short version: German Sleep Society (Deutsche Gesellschaft für Schlafforschung und Schlafmedizin, DGSM). Somnologie (Berl) 21:290–301CrossRefGoogle Scholar
  44. 44.
    Cazan D, Mehrmann U, Wenzel A, Maurer JT (2017) The effect on snoring of using a pillow to change the head position. Sleep Breath 21:615–621CrossRefGoogle Scholar
  45. 45.
    Ravesloot MJ, van Maanen JP, Dun L, de Vries N (2013) The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea—a review of the literature. Sleep Breath 17:39–49CrossRefGoogle Scholar
  46. 46.
    Nemati S, Gerami H, Soltanipour S, Saberi A, Moghadam SK, Setva F (2015) The effects of oropharyngeal-lingual exercises in patients with primary snoring. Eur Arch Otorhinolaryngol 272:1027–1031CrossRefGoogle Scholar
  47. 47.
    Ojay A, Ernst E (2000) Can singing exercises reduce snoring? A pilot study. Complement Ther Med 8:151–156CrossRefGoogle Scholar
  48. 48.
    Wardrop PJ, Ravichandran S, Hair M, Robertson SM, Sword D (2011) Do wind and brass players snore less? A cross-sectional study of snoring and daytime fatigue in professional orchestral musicians. Clin Otolaryngol 36:134–138CrossRefGoogle Scholar
  49. 49.
    Randerath WJ, Galetke W, Domanski U, Weitkunat R, Ruhle KH (2004) Tongue-muscle training by intraoral electrical neurostimulation in patients with obstructive sleep apnea. Sleep 27:254–259CrossRefGoogle Scholar
  50. 50.
    Toor P, Kim K, Buffington CK (2012) Sleep quality and duration before and after bariatric surgery. Obes Surg 22:890–895CrossRefGoogle Scholar
  51. 51.
    Holty JE, Parimi N, Ballesteros M, Blackwell T, Cirangle PT et al (2011) Does surgically induced weight loss improve daytime sleepiness. Obes Surg 21:1535–1545CrossRefGoogle Scholar
  52. 52.
    Gesellschaft DA (2014) Interdisziplinäre Leitlinie der Qualität S3 zur „Prävention und Therapie der Adipositas“Google Scholar
  53. 53.
    Löth S, Petruson B (1996) Improved nasal breathing reduces snoring and morning tiredness. A 6‑month follow-up study. Arch Otolaryngol Head Neck Surg 122:1337–1340CrossRefGoogle Scholar
  54. 54.
    Löth S, Petruson B, Wirén L, Wilhelmsen L (1999) Better quality of life when nasal breathing of snoring men is improved at night. Arch Otolaryngol Head Neck Surg 125:64–67CrossRefGoogle Scholar
  55. 55.
    Petruson B (1990) Snoring can be reduced when the nasal airflow is increased by the nasal dilator Nozovent. Arch Otolaryngol Head Neck Surg 116:462–464CrossRefGoogle Scholar
  56. 56.
    Petruson B, Theman K (1992) Clinical evaluation of the nasal dilator Nozovent. The effect on snoring and dryness of the mouth. Rhinology 30:283–287Google Scholar
  57. 57.
    Liistro G, Rombaux P, Dury M, Pieters T, Aubert G, Rodenstein DO (1998) Effects of breathe right on snoring: a polysomnographic study. Respir Med 92:1076–1078CrossRefGoogle Scholar
  58. 58.
    Pevernagie D, Hamans E, Van Cauwenberge P, Pauwels R (2000) External nasal dilation reduces snoring in chronic rhinitis patients: a randomized controlled trial. Eur Respir J 15:996–1000CrossRefGoogle Scholar
  59. 59.
    Todorova A, Schellenberg R, Hofmann HC, Dimpfel W (1998) Effect of the external nasal dilator Breathe Right on snoring. Eur J Med Res 3:367–379Google Scholar
  60. 60.
    Hultcrantz E, Harder L, Harder H, Zetterlund EL, Roberg K (2010) To treat snoring with nasal steroids—effects on more than one level. Acta Otolaryngol 130:124–131CrossRefGoogle Scholar
  61. 61.
    Koutsourelakis I, Keliris A, Minaritzoglou A, Zakynthinos S (2015) Nasal steroids in snorers can decrease snoring frequency: a randomized placebo-controlled crossover trial. J Sleep Res 24:160–166CrossRefGoogle Scholar
  62. 62.
    Larrain A, Hudson M, Dominitz JA, Pope CE (2006) Treatment of severe snoring with a combination of pseudoephedrine sulfate and domperidone. J Clin Sleep Med 2:21–25Google Scholar
  63. 63.
    Sériès F, Marc I (1993) Effects of protriptyline on snoring characteristics. Chest 104:14–18CrossRefGoogle Scholar
  64. 64.
    Wijewickrama RC, Blalock D, Mims JW (2004) Study of lubricant-induced changes in chronic snorers (SLICCS). Otolaryngol Head Neck Surg 131:606–609CrossRefGoogle Scholar
  65. 65.
    Ulfberg J, Nyström B (2001) Treatment of snorers with a volatile oil: a randomized, double-blind placebo-controlled trial. Orl J Otorhinolaryngol Relat Spec 63:298–301CrossRefGoogle Scholar
  66. 66.
    Stradling JR, Negus TW, Smith D, Langford B (1998) Mandibular advancement devices for the control of snoring. Eur Respir J 11:447–450CrossRefGoogle Scholar
  67. 67.
    Robertson S, Murray M, Young D, Pilley R, Dempster J (2008) A randomized crossover trial of conservative snoring treatments: mandibular repositioning splint and nasal CPAP. Otolaryngol Head Neck Surg 138:283–288CrossRefGoogle Scholar
  68. 68.
    Johnston CD, Gleadhill IC, Cinnamond MJ, Peden WM (2001) Oral appliances for the management of severe snoring: a randomized controlled trial. Eur J Orthod 23:127–134CrossRefGoogle Scholar
  69. 69.
    Maguire J, Steele JG, Gibson GJ, Wilson JA, Steen N, McCracken GI (2010) Randomised cross-over study of oral appliances for snoring. Clin Otolaryngol 35:204–209CrossRefGoogle Scholar
  70. 70.
    Aarts MC, Rovers MM, van der Heijden GJ, Grolman W (2011) The value of a mandibular repositioning appliance for the treatment of nonapneic snoring. Otolaryngol Head Neck Surg 144:170–173CrossRefGoogle Scholar
  71. 71.
    Abo-Khatwa MM, Osman EZ, Hill PD, Lee BW, Osborne JE (2008) Objective evaluation of tongue base snoring after the use of an oral appliance: a prospective case series. Clin Otolaryngol 33:592–595CrossRefGoogle Scholar
  72. 72.
    Cooke ME, Battagel JM (2006) A thermoplastic mandibular advancement device for the management of non-apnoeic snoring: a randomized controlled trial. Eur J Orthod 28:327–338CrossRefGoogle Scholar
  73. 73.
    Mahl N, Schuff S, Mattheis S, Siegert R (2007) The effectiveness of an individual mandibular advancement splint (MAS) in subjects with obstructive tongue-base-snoring. Laryngorhinootologie 86:421–425CrossRefGoogle Scholar
  74. 74.
    Smith AM, Battagel JM (2004) Non-apneic snoring and the orthodontist: the effectiveness of mandibular advancement splints. J Orthod 31:115–123CrossRefGoogle Scholar
  75. 75.
    Vanderveken OM, Boudewyns AN, Braem MJ, Okkerse W, Verbraecken JA et al (2004) Pilot study of a novel mandibular advancement device for the control of snoring. Acta Otolaryngol 124:628–633CrossRefGoogle Scholar
  76. 76.
    Esser E, Röers A, Schenk C (2014) Die Unterkieferprotrusionsschiene im interdisziplinären Kontext. MKG-Chirurg 7:125–132CrossRefGoogle Scholar
  77. 77.
    de Carlos F, Cobo J, Fernandez Mondragon MP, Alvarez Suarez A, Calvo Blanco J (2010) Orthoimplants: an alternative treatment for SAHS. Sleep Breath 14:171–174CrossRefGoogle Scholar
  78. 78.
    Ngiam J, Balasubramaniam R, Darendeliler MA, Cheng AT, Waters K, Sullivan CE (2013) Clinical guidelines for oral appliance therapy in the treatment of snoring and obstructive sleep apnoea. Aust Dent J 58:408–419CrossRefGoogle Scholar
  79. 79.
    Sabbe AV, De Medts J, Delsupehe K (2017) Surgical treatments for snoring. B‑ENT 13:1–7Google Scholar
  80. 80.
    Virkkula P, Bachour A, Hytönen M, Salmi T, Malmberg H et al (2006) Snoring is not relieved by nasal surgery despite improvement in nasal resistance. Chest 129:81–87CrossRefGoogle Scholar
  81. 81.
    Wu J, Zang HR, Wang T, Zhou B, Ye JY et al (2017) Evaluation of the subjective efficacy of nasal surgery. J Laryngol Otol 131:37–43CrossRefGoogle Scholar
  82. 82.
    Ugur KS, Kurtaran H, Ark N, Kizilbulut G, Yuksel A, Gunduz M (2013) Comparing anterior palatoplasty and modified uvulopalatopharyngoplasty for primary snoring patients: preliminary results. B‑ENT 9:285–291Google Scholar
  83. 83.
    Boudewyns A, Marien S, Wuyts F, De Backer W, Van de Heyning P (2000) Short- and long-term outcomes of uvulopalatopharyngoplasty in nonapneic snorers and obstructive sleep apnea patients. Otorhinolaryngol Nova 10:172–179CrossRefGoogle Scholar
  84. 84.
    Neruntarat C (2003) Uvulopalatal flap for snoring on an outpatient basis. Otolaryngol Head Neck Surg 129:353–359CrossRefGoogle Scholar
  85. 85.
    Lim DJ, Kang SH, Kim BH, Kim HG (2007) Treatment of primary snoring using radiofrequency-assisted uvulopalatoplasty. Eur Arch Otorhinolaryngol 264:761–767CrossRefGoogle Scholar
  86. 86.
    Rashid M, Ahmed Z, Manzoor T (2011) Modified palatal stiffening procedure for snoring. J Coll Physicians Surg Pak 21:330–333Google Scholar
  87. 87.
    Neruntarat C (2001) Laser-assisted uvulopalatoplasty: short-term and long-term results. Otolaryngol Head Neck Surg 124:90–93CrossRefGoogle Scholar
  88. 88.
    Stuck BA, Sauter A, Hörmann K, Verse T, Maurer JT (2005) Radiofrequency surgery of the soft palate in the treatment of snoring. A placebo-controlled trial. Sleep 28:847–850CrossRefGoogle Scholar
  89. 89.
    Baisch A, Maurer JT, Hörmann K, Stuck BA (2009) Combined radiofrequency assisted uvulopalatoplasty in the treatment of snoring. Eur Arch Otorhinolaryngol 266:125–130CrossRefGoogle Scholar
  90. 90.
    Stuck BA (2009) Radiofrequency-assisted uvulopalatoplasty for snoring: Long-term follow-up. Laryngoscope 119:1617–1620CrossRefGoogle Scholar
  91. 91.
    Bäck LJ, Tervahartiala PO, Piilonen AK, Partinen MM, Ylikoski JS (2002) Bipolar radiofrequency thermal ablation of the soft palate in habitual snorers without significant desaturations assessed by magnetic resonance imaging. Am J Respir Crit Care Med 166:865–871CrossRefGoogle Scholar
  92. 92.
    Hultcrantz E, Harder L, Loord H, Käll LG, Ydreborg K et al (2010) Long-term effects of radiofrequency ablation of the soft palate on snoring. Eur Arch Otorhinolaryngol 267:137–142CrossRefGoogle Scholar
  93. 93.
    Iseri M, Balcioglu O (2005) Radiofrequency versus injection snoreplasty in simple snoring. Otolaryngol Head Neck Surg 133:224–228CrossRefGoogle Scholar
  94. 94.
    Kühnel TS, Hein G, Hohenhorst W, Maurer JT (2005) Soft palate implants: a new option for treating habitual snoring. Eur Arch Otorhinolaryngol 262:277–280CrossRefGoogle Scholar
  95. 95.
    Maurer JT, Hein G, Verse T, Hörmann K, Stuck BA (2005) Long-term results of palatal implants for primary snoring. Otolaryngol Head Neck Surg 133:573–578CrossRefGoogle Scholar
  96. 96.
    Nordgård S, Stene BK, Skjøstad KW, Bugten V, Wormdal K et al (2006) Palatal implants for the treatment of snoring: long-term results. Otolaryngol Head Neck Surg 134:558–564CrossRefGoogle Scholar
  97. 97.
    Skjøstad KW, Stene BK, Norgård S (2006) Consequences of increased rigidity in palatal implants for snoring: a randomized controlled study. Otolaryngol Head Neck Surg 134:63–66CrossRefGoogle Scholar
  98. 98.
    Skj Stad KW, Nordg Rd S (2011) Three-year follow-up of palatal implants for the treatment of snoring. Acta Otolaryngol 131:1299–1302CrossRefGoogle Scholar

Copyright information

© Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie 2019

Authors and Affiliations

  • Boris A. Stuck
    • 1
    Email author
  • Bert Braumann
    • 2
  • Clemens Heiser
    • 3
  • Michael Herzog
    • 4
  • Joachim T. Maurer
    • 5
  • Sebastian Plößl
    • 6
  • Armin Steffen
    • 7
  • J. Ulrich Sommer
    • 8
  • Thomas Verse
    • 9
  • Benedikt Hofauer
    • 10
  1. 1.Klinik für Hals‑, Nasen- und OhrenheilkundeUniversitätsklinikum Gießen und Marburg GmbHMarburgDeutschland
  2. 2.Poliklinik für Kieferorthopädie, Zentrum für Zahn‑, Mund- und KieferheilkundeUniversitätsklinikum Köln, Universität zu KölnKölnDeutschland
  3. 3.Klinik und Poliklinik für Hals-Nasen-OhrenheilkundeKlinikum rechts der Isar der Technischen Universität MünchenMünchenDeutschland
  4. 4.Klinik für HNO-Krankheiten, Kopf- und HalschirurgieCarl-Thiem-KlinikumCottbusDeutschland
  5. 5.Universitäts-HNO-KlinikUniversitätsmedizin MannheimMannheimDeutschland
  6. 6.Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-ChirurgieUniversitätsklinikum Halle (Saale)Halle (Saale)Deutschland
  7. 7.Klinik für HNO-HeilkundeUniversitätsklinikum Schleswig-Holstein, Campus LübeckLübeckDeutschland
  8. 8.Klinik für Hals‑, Nasen- und OhrenheilkundeHelios Universitätsklinikum WuppertalWuppertalDeutschland
  9. 9.Abteilung für HNO-Heilkunde, Kopf- und HalschirurgieAsklepios-Klinikum Hamburg HarburgHamburgDeutschland
  10. 10.Klinik für Hals‑, Nasen- und OhrenheilkundeUniversitätsklinikum FreiburgFreiburgDeutschland

Personalised recommendations