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Orofacial Myofunctional Therapy in Obstructive Sleep Apnea Syndrome: A Pathophysiological Perspective
Venkata Koka1, Andrea De Vito2, Gabriel Roisman1
1Department of Sleep Medicine, Hospital Antoine Beclere, 92140 Clamart, France.
Medicina (Kaunas, Lithuania)
|April 30, 2021
Summary
Orofacial myofunctional therapy (OMT) offers a promising approach for obstructive sleep apnea (OSA) by improving pharyngeal muscle function. This therapy can reduce symptoms and enhance treatment adherence for OSA patients.
Area of Science:
- Sleep Medicine
- Otolaryngology
- Respiratory Medicine
Background:
- Obstructive sleep apnea (OSA) is a complex disorder influenced by airway collapsibility and muscle responsiveness.
- Conventional OSA treatments like CPAP may have limitations, especially for non-anatomical cases.
Purpose of the Study:
- To review the role of OSA pathophysiology in relation to orofacial myofunctional therapy (OMT).
- To highlight OMT's potential as an effective treatment modality for OSA.
Main Methods:
- Narrative review of current literature on OSA pathophysiology and OMT.
- Focus on pharyngeal collapsibility and muscle responsiveness as targets for OMT.
Main Results:
- OMT exercises improve muscle tone, endurance, and coordination in oral and oropharyngeal structures.
- Studies show OMT effectively reduces snoring, apnea-hypopnea index, daytime sleepiness, and improves oxygen saturation and sleep quality.
- OMT aids in managing residual OSA post-surgery and improves CPAP adherence.
Conclusions:
- Understanding OSA pathophysiology is key to selecting effective treatments.
- OMT presents a viable therapeutic option for OSA, addressing muscle-related contributing factors.
- Further multi-institutional studies are needed to confirm OMT's efficacy in combined or standalone approaches.
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