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Tongue Stabilizing Device-Emergent Central Sleep Apnea: A Case Report
Waled M Alshhrani1,2, Yuuya Kohzuka3, Kentaro Okuno4
1Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.
Summary
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.
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.
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