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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2026, Vol. 31 ›› Issue (2): 265-271.doi: 10.12092/j.issn.1009-2501.2026.02.014

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Research progress on perioperative management of adult patients with obstructive sleep apnea undergoing upper airway surgery

Jing YAN(), Ailin LUO, Shiyong LI()   

  1. Department of Anesthesiology and Pain Medicine, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China
  • Received:2024-11-19 Revised:2025-08-22 Online:2026-02-26 Published:2026-03-17
  • Contact: Shiyong LI E-mail:yanjing@tjh.tjmu.edu.cn;shiyongli@hust.edu.cn

Abstract:

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, characterized by symptoms related to sleep breathing disturbances, but often comorbid with cardiovascular, respiratory, neurological, metabolic, endocrinic, and other multisystemic conditions. The first-line treatment is continuous positive airway pressure (CPAP) during sleep; for patients who fail CPAP therapy, multilevel's upper airway surgery is an effective alternative treatment option. In the present review, we summarized the progress in preoperative preparation and intraoperative and postoperative management of upper airway surgery based on published literature and expert management experience, especially focusing on the key aspects of perioperative management of upper airway surgery, with the aim of improving perioperative safety and promoting patient recovery.

Key words: obstructive sleep apnea, perioperative care, upper airway surgery, airway management, positive airway pressure ventilation

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