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A Debate on Surgical and Nonsurgical Approaches for Obstructive Sleep Apnea: A Comprehensive Review
Andreea Zabara-Antal1, Ionela Grosu-Creanga1,2,3, Mihai Lucian Zabara4,5
1Clinical Hospital of Pulmonary Diseases Iași, 700116 Iasi, Romania.
Journal of Personalized Medicine
|September 28, 2023
Summary
Obstructive sleep apnea (OSA) is a growing concern. Treatment requires a personalized approach, as no single method is ideal, and surgery
Area of Science:
- Sleep Medicine
- Otolaryngology
- Anesthesiology
Background:
- Obstructive sleep apnea (OSA) is a prevalent nocturnal breathing disorder with increasing incidence.
- The global obesity epidemic exacerbates OSA prevalence, leading to a rise in undiagnosed cases.
- Restful sleep depends on unobstructed breathing, making OSA a significant public health issue.
Purpose of the Study:
- To debate the role of surgery in treating obstructive sleep apnea (OSA).
- To explore the factors influencing the choice of OSA therapy.
- To highlight the importance of a multidisciplinary approach in managing OSA.
Main Methods:
- This narrative review examines current literature on OSA treatment options.
- It presents a debate on the efficacy and risks of surgical interventions for OSA.
- The review analyzes individual patient factors, including apnea severity, obesity, and comorbidities.
Main Results:
- Optimal OSA treatment is individualized, with no universally ideal method.
- Positive pressure ventilation, while a gold standard, has limitations.
- Surgical risks, especially concerning anesthesia in obese patients with OSA, require careful consideration.
Conclusions:
- Each obstructive sleep apnea case is unique, necessitating tailored treatment strategies.
- Surgery can be a viable option but requires thorough pre-operative assessment and planning.
- Positive pressure ventilation remains crucial, often preceding surgical interventions for OSA or other conditions.
Keywords:
BiPAPCPAPbariatric surgeryobesityobesity hypoventilation syndromeobstructive sleep apneasleep apneaMore Related Videos
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