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Tongue Stabilizing Device-Emergent Central Sleep Apnea: A Case Report.

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Treatment-emergent central sleep apnea can occur with tongue stabilizing devices. Polysomnography follow-up is crucial for assessing central sleep apnea after oral appliance therapy, especially in supine positions.

Keywords:
obstructive sleep apneaoral appliancesleep positiontongue stabilizing devicetreatment-emergent central sleep apnea

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Area of Science:

  • Sleep Medicine
  • Respiratory Medicine
  • Neurology

Background:

  • Treatment-emergent central sleep apnea (TECSA) is a recognized complication following various obstructive sleep apnea (OSA) treatments.
  • Oral appliance therapy (OAT) is a common modality for OSA, but its potential to induce central sleep apnea requires further investigation.

Observation:

  • A case study detailing the occurrence of TECSA in a patient undergoing treatment with a tongue stabilizing device (TSD).
  • The patient's central sleep apnea severity was notably influenced by sleeping position, particularly the supine position.

Findings:

  • The use of a tongue stabilizing device, a form of oral appliance therapy, was associated with the development of treatment-emergent central sleep apnea.
  • Polysomnography revealed a correlation between the supine sleeping position and increased severity of central sleep apnea events.

Implications:

  • This case highlights the importance of considering TECSA as a potential adverse effect of TSD therapy.
  • Routine polysomnography follow-up is recommended after initiating oral appliance therapy to accurately assess for central sleep apnea.
  • Understanding positional effects on central sleep apnea severity is critical for effective patient management and treatment adjustments.