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Images in Sleep Medicine Title: Is positional therapy the adequate therapy for all positional OSA (POSA) patients?
1Sleep Disorders Unit, Loewenstein Hospital - Rehabilitation Center, Raanana, Israel.
Background:
Positional Therapy (PT) is a behavioral treatment of choice for many Obstructive Sleep Apnea (OSA) patients who suffer from positional OSA (POSA), i.e.patients who show apneas and hypopneas related mainly to a specific sleep posture, which in most of the cases is the supine position.
Case Presentation:
Here we report the poslysomnographic data of a 36 years old patient with severe POSA with a clear positional effect on the occurrence of apneas and with continuous and loud snoring in the lateral postures.
Discussion:
This particular case calls into question if PT is the right solution for this patient. Here we discussed the pro - and - con arguments for using PT in this particular patient and we also offer a few possible treatment alternatives.
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