Obstructive Sleep Apnea OSA Treatment & Management: Approach Considerations, Nasal CPAP Therapy, BiPAP Therapy

sleep apnea supportive therapy

Mask-related problems include skin abrasions, rash, and conjunctivitis (due to air leaks). If excessive air leaks through the mouth, patients should use a chin strap to keep their mouths closed or they should try an oronasal mask. Consider consultation with an otolaryngologist to rule out sinus dysfunction. If a poorly fitting read what he said mask causes skin breakdown and/or air leaks, patients should try masks of different sizes and/or models; a variety of interfaces are now available. Too much alcohol can lead to a narrow airway, which can make episodes of sleep apnea longer. There, a sleep specialist can help you determine your need for further evaluation.

If you have sleep apnea, your provider may prescribe an oral device if you do not want to use or cannot tolerate CPAP. You may be referred to a dentist who custom-fits a device to your active mouth so that it is comfortable and teaches you how to use it for best results. Surgery may be an option for people with OSA, but usually only after other treatments have failed.

sleep apnea supportive therapy

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Worsened OSA has been observed in the early postoperative period after laser-assisted uvulopalatoplasty. Laser-assisted uvulopalatoplasty is not recommended for the treatment of OSA until further data are available. Silent apnea refers to a condition in which the vibration of the tissues that caused snoring during airway collapse remains; thus, OSA persists but snoring does not. The decision to reevaluate OSA postsurgically should not depend on a postive report of snoring.

Like EPAP, oral appliances are often only prescribed after a person has found that they cannot tolerate one of the PAP machine treatments. Immediately warn patients at highest risk of the potential dangers of driving while sleepy specifically, of the potential personal and social risk. Provide additional counseling depending on other risk factors (eg, occupation). Provide additional counseling to family members as appropriate, and help patients explore alternatives to driving if they are unaware of their sleepiness or if they are unwilling to acknowledge their increased risk. One hundred fifty-seven patients were randomized (77 modafinil, 80 placebo), with 143 completing the study (66 modafinil, 77 placebo). The primary efficacy measures were the Epworth Sleepiness Score (ESS), daytime sleep latency based on multiple sleep latency test (MSLT) results, and CPAP use.

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Obstructive sleep apnea occurs when the muscles that support the soft tissues in your throat, such as your tongue and soft palate, temporarily relax. When these muscles relax, your airway is narrowed or closed, and breathing is momentarily cut off. Once diagnosed with OSA and started on nasal CPAP, patients require regular follow-up with a sleep specialist. As such, it is not a recommended surgery alone in the adult OSA patient. To assess the above mentioned concerns of OA treatment, OSA patients treated with an OA need to return to determine optimal fit and then at 6 months, 1 year, and annually thereafter. This standard is not different from good medical care for any sleep medical treatment (eg, prescription medicine, weight loss, CPAP, surgery).

For example, a deviated septum, nasal growths, and excessively large bones within the nose can all cause or exacerbate OSA. Many nasal issues can be treated through traditional surgery or minimally invasive radiofrequency surgery. Studies of such surgeries have not returned see post high success rates, but nasal surgery may improve outcomes for other types of OSA treatments. EPAP therapy is newer and it is less commonly prescribed than the other PAP therapies. CPAP is considered the most effective OSA treatment, but it must be used nightly.

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This type of sleep apnea happens when the muscles in the back of the throat relax. These muscles support the soft palate, the triangular piece of tissue hanging from the soft palate called the uvula, the tonsils, the side walls of the throat and the tongue. If you think you might have sleep apnea, see your health care provider. Treatment can ease your symptoms and might help prevent heart problems and other complications. Complications or adverse effects include excessive salivation, dental misalignment with bite change, and tooth movement.

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