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Leitlinie: Therapie der obstruktiven Schlafapnoe des Erwachsenen

Guideline: Treatment of obstructive sleep apnea in adults

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Zusammenfassung

In der vorliegenden Leitlinie wird die konservative und operative Therapie der obstruktiven Schlafapnoe (OSA) des Erwachsenen aus Hals-Nasen-Ohren-ärztlicher Sicht dargestellt. Auftraggeber dieser neu überarbeiteten Leitlinie ist die DG HNO KHC, erarbeitet wurde sie von der Arbeitsgemeinschaft (ArGe) Schlafmedizin der DG HNO KHC. Die Leitlinie wurde mittels eines formalen Konsensusverfahrens nach den Richtlinien der Leitlinien-Kommission der AWMF im Sinne einer „S2e-Leitlinie“ erstellt. Grundlage der Empfehlungen ist eine Literaturrecherche der zum Thema vorhandenen Literatur bis einschließlich Dezember 2008. Die Bewertung der gefundenen Arbeiten erfolgte gemäß den Empfehlungen des Oxford Centre for Evidence-based Medicine (OCEBM). Daraus resultiert ein Grad der Empfehlung. Grad A ist dabei durch Studien mit höchster Evidenz und Grad D durch Studien mit geringster Evidenz abgesichert.

Abstract

The current guideline discusses conservative and surgical therapy of obstructive sleep apnea (OSA) in adults from the perspective of the ear, nose and throat specialist. The revised guideline was commissioned by the German Society of Ear-Nose-Throat, Head-Neck Surgery (DG HNO KHC) and compiled by the DG HNO KHC’s Working Group on Sleep Medicine. The guideline was based on a formal consensus procedure according to the guidelines set out by the German Association of Scientific Medical Societies (AWMF) in the form of a“S2e guideline”. Research of the literature available on the subject up to and including December 2008 forms the basis for the recommendations. Evaluation of the publications found was made according to the recommendations of the Oxford Centre for Evidence-Based Medicine (OCEBM). This yielded a recommendation grade, whereby grade A represents highly evidence-based studies and grade D those with a low evidence base.

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Interessenkonflikt

Die Autoren versichern, dass diese Leitlinie ohne Abhängigkeiten von und ohne Interessenkonflikte mit Herstellern von Medizingeräten oder -produkten entstanden ist. Des Weiteren werden folgende finanzielle Verflechtungen mit Herstellern von Medizingeräten oder -produkten offen gelegt (Tab. 3).

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Authors and Affiliations

  1. Abteilung für HNO-Heilkunde, Kopf- und Halschirurgie, Asklepios-Klinik Harburg, Eißendorfer Pferdeweg 52, 21075, Hamburg, Deutschland

    T. Verse & K. Rohde

  2. -, Lichtenfels, Deutschland

    R. Bodlaj

  3. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Ludwig-Maximilians-Universität München, München, Deutschland

    R. de la Chaux & A. Dreher

  4. Universitäts-HNO-Klinik Mannheim, Mannheim, Deutschland

    C. Heiser, K. Hörmann, J.T. Maurer, A. Sauter & B.A. Stuck

  5. Klinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie, Universitätsklinikum Greifswald, Greifswald, Deutschland

    M. Herzog

  6. Kliniken St. Antonius, Wuppertal, Deutschland

    W. Hohenhorst

  7. Abteilung Hals-Nasen-Ohren-Heilkunde, Plastische Gesichts- und Halschirurgie, St.-Gertrauden-Krankenhaus Berlin, Berlin, Deutschland

    O. Kaschke

  8. HNO-Klinik und Poliklinik der Universität Regensburg, Regensburg, Deutschland

    T. Kühnel

  9. Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, Prosper-Hospital, Recklinghausen, Deutschland

    N. Mahl & R. Siegert

  10. -, Ulm, Deutschland

    W. Pirsig

  11. German-American Hospital Ramstein, Ramstein, Deutschland

    M. Schedler

  12. Klinik für HNO-Heilkunde, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

    A. Steffen

Authors
  1. T. Verse
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  2. R. Bodlaj
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  3. R. de la Chaux
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  4. A. Dreher
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  5. C. Heiser
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  8. K. Hörmann
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  9. O. Kaschke
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  10. T. Kühnel
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  12. J.T. Maurer
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  13. W. Pirsig
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  14. K. Rohde
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  15. A. Sauter
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  16. M. Schedler
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  17. R. Siegert
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  18. A. Steffen
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  19. B.A. Stuck
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ArGe Schlafmedizin der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie

Corresponding author

Correspondence to T. Verse.

 

 

Tab. 3 Finanzielle Verflechtungen der Autoren
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Verse, T., Bodlaj, R., de la Chaux, R. et al. Leitlinie: Therapie der obstruktiven Schlafapnoe des Erwachsenen. HNO 57, 1136–1156 (2009). https://doi.org/10.1007/s00106-009-2013-1

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