[Obstructive sleep apnea syndrome : CPAP or Mandibular Advancement Device?]

Area of Science:

• Respiratory Medicine
• Sleep Medicine
• Otolaryngology

Background:

• Obstructive sleep apnea syndrome (OSAS) is a prevalent respiratory disorder.
• Prevalence rates are higher in middle to older aged men (up to 49%) than women (23%).
• Current treatments include CPAP and MAD, with varying patient tolerance.

Purpose of the Study:

• To compare Continuous Positive Airway Pressure (CPAP) and Mandibular Advancement Devices (MAD) for OSAS treatment.
• To guide physicians and patients in selecting the optimal therapy.
• To describe the advantages and side effects of CPAP and MAD.

Main Methods:

• Review and comparison of existing treatment modalities for OSAS.
• Analysis of patient parameters influencing treatment tolerance.
• Descriptive approach to outline CPAP and MAD characteristics.

Main Results:

• CPAP is the gold-standard for severe OSAS.
• MAD is a first-line treatment for mild and moderate OSAS.
• Patient tolerance varies significantly between CPAP and MAD.

Conclusions:

• Both CPAP and MAD are effective first-line treatments for OSAS.
• Treatment choice depends on individual patient parameters and tolerance.
• Further understanding of patient-specific factors is crucial for optimal OSAS management.