Prevention, Screening and Treatments for Obstructive Sleep Apnea: Beyond PAP, An Issue of Sleep Medicine Clinics

This issue of Sleep Medicine Clinics focuses on preventing, screening, and treating obstructive sleep apnea (OSA) beyond positive airway pressure (PAP). It covers various topics such as prevention, screening, surgical treatment, weight management, oral appliances, myofunctional therapy, drug-induced sleep endoscopy, palatal surgery, volumetric tongue reduction surgery, transoral robotic surgery, genioglossus advancement, and hyoid surgery.

\n Format: Hardback
\n \n Publication date: 17 March 2021
\n Publisher: Elsevier - Health Sciences Division
\n

This issue of Sleep Medicine Clinics, edited by Song Tar Toh in collaboration with Consulting Editor, Teofilo Lee-Chiong, is devoted to the prevention, screening, and treatments for obstructive sleep apnea (OSA), beyond positive airway pressure (PAP). Topics covered in this issue include:

Prevention and Screening of Obstructive Sleep Apnea (OSA):

Understanding the risk factors and underlying causes of OSA is crucial in preventing its development. Screening tests, such as polysomnography or home sleep apnea tests, can help identify individuals who are at risk for OSA. Early detection and treatment can improve sleep quality and overall health outcomes.

Anatomical and Physiologic Considerations in Surgical Treatment for OSA:

Surgical treatment for OSA is an option for individuals who have not responded well to PAP or who have severe symptoms. Various surgical procedures, such as maxillomandibular advancement, genioglossus advancement, and hyoid surgery, can help improve airway obstruction and reduce snoring.

Medical and Surgical Options for Weight Management in OSA:

Obesity is a common risk factor for OSA, and weight management is essential in treating OSA. Medical interventions, such as diet and exercise, can help individuals lose weight and improve their sleep quality. Surgical procedures, such as bariatric surgery, can also be considered for individuals with severe obesity.

Positional Therapy for OSA:

Positional therapy involves using specific sleeping positions to improve airway obstruction and reduce snoring. Positional therapy can be an effective treatment option for individuals with mild to moderate OSA.

Oral Appliances in Adults and Pediatrics:

Oral appliances, such as mandibular advancement devices or tongue stabilizing devices, can help improve airway obstruction and reduce snoring. Oral appliances are often used as an alternative to PAP therapy for individuals who are unable to tolerate it or prefer a non-invasive treatment option.

Myofunctional Therapy for OSA:

Myofunctional therapy focuses on improving the muscles responsible for breathing and swallowing. By strengthening these muscles, individuals with OSA can improve their breathing patterns and reduce snoring.

Drug-induced Sleep Endoscopy in Treatment Options Selection:

Drug-induced sleep endoscopy is a minimally invasive procedure that allows physicians to visualize the upper airway during sleep. This procedure can help identify anatomical abnormalities that may contribute to OSA and guide treatment options selection.

Establishing a Patent Nasal Passage in OSA:

Some individuals with OSA have nasal obstruction or narrowing of the nasal passages. Establishing a patent nasal passage can help improve airflow and reduce snoring.

Palatal Surgery: From Ablation to Reconstruction:

Palatal surgery can be used to treat OSA by modifying the structure of the palate. Procedures such as palatal ablation or palatal reconstruction can help improve airway obstruction and reduce snoring.

Volumetric Tongue Reduction Surgery in Clinical Practice:

Volumetric tongue reduction surgery is a minimally invasive procedure that involves removing tissue from the tongue to reduce its size. This procedure can help improve airway obstruction and reduce snoring.

Transoral Robotic Surgery for OSA:

Transoral robotic surgery is a newer surgical approach for treating OSA. It involves using a robotic device to manipulate the tissues in the upper airway, improving airway obstruction and reducing snoring.

Genioglossus Advancement and Hyoid Surgery:

Genioglossus advancement and hyoid surgery are surgical procedures that involve moving the tongue and hyoid bone to improve airway obstruction and reduce snoring. These procedures can be effective for individuals with severe OSA.

Maxillomandibular Rotational Advancement: Airway, Aesthetics, and Angle Considerations:

Maxillomandibular rotational advancement is a surgical procedure that involves rotating the lower jaw forward to improve airway obstruction and reduce snoring. This procedure can also improve aesthetics and jaw alignment.

In conclusion, this issue of Sleep Medicine Clinics provides a comprehensive overview of the prevention, screening, and treatments for obstructive sleep apnea. By understanding the underlying causes of OSA, implementing effective screening tests, and considering surgical and non-surgical treatment options, healthcare professionals can help individuals with OSA improve their sleep quality and overall health outcomes.

\n Weight: 295g\n \n
ISBN-13: 9780323655293\n \n