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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Alternative devices for obstructive sleep apnea.

Daniel A Barone1

  • 1Weill Cornell Center for Sleep Medicine, New York, NY.

Neurology. Clinical Practice
|February 7, 2018
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Summary
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Continuous positive airway pressure (CPAP) is a common treatment for obstructive sleep apnea (OSA), but compliance can be an issue. This review explores alternative OSA devices like mandibular advancement and hypoglossal nerve stimulators.

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Medical Devices

Background:

  • Obstructive sleep apnea (OSA) is a prevalent condition often managed with continuous positive airway pressure (CPAP).
  • Patient compliance with CPAP therapy presents significant challenges.
  • Alternative treatment modalities for OSA are crucial for effective patient management.

Purpose of the Study:

  • To review alternative treatment devices for obstructive sleep apnea (OSA).
  • To discuss the mechanism of action, efficacy, and practicality of various OSA devices.
  • To inform healthcare providers about non-CPAP treatment options for OSA.

Main Methods:

  • Literature review of existing studies on alternative OSA treatments.
  • Analysis of mandibular advancement devices.
  • Evaluation of nasal expiratory airway pressure devices.
  • Review of hypoglossal nerve stimulators.
  • Assessment of oral pressure therapy devices.

Main Results:

  • Mandibular advancement devices reposition the jaw to maintain airway patency.
  • Nasal expiratory airway pressure devices utilize expiratory resistance to prevent airway collapse.
  • Hypoglossal nerve stimulators improve upper airway muscle tone.
  • Oral pressure therapy devices offer another approach to airway management.

Conclusions:

  • Several alternative devices exist for OSA treatment beyond CPAP.
  • Understanding the mechanism, efficacy, and practicality of these devices is essential for clinicians.
  • These alternative treatments offer potential solutions for patients with CPAP compliance issues.