Impact of continuous positive airway pressure therapy on left atrial function in patients with obstructive sleep apnoea: assessment by conventional and two-dimensional speckle-tracking echocardiography

2014 ◽  
Vol 69 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Mustafa Gökhan Vural ◽  
Süha Çetin ◽  
Hikmet Firat ◽  
Ramazan Akdemir ◽  
Sadik Ardiç ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Left Atrial ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Positive Airway Pressure ◽  
Sleep Apnoea ◽  
Two Dimensional ◽  
Pressure Therapy ◽  
Obstructive Sleep

A case of severe obstructive sleep apnoea in Madelung's disease treated by lateral pharyngoplasty

2017 ◽  
Vol 131 (9) ◽  
pp. 834-837 ◽  
Author(s):  
V Pinto ◽  
P G Morselli ◽  
D Tassone ◽  
O Piccin
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Obstructive Sleep Apnoea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Upper Airway ◽  
Sleep Apnoea ◽  
Pressure Therapy ◽  
Madelung's Disease ◽  
Madelung’S Disease ◽  
Obstructive Sleep

AbstractBackground:Madelung's disease is a rare disorder characterised by the presence of multiple, symmetric, non-capsulated fat masses in the face, neck and other areas of upper extremities. In some cases, severe clinical complications such as upper airway compression can occur.Case report:A 56-year-old man affected by Madelung's disease complained of snoring and severe daytime sleepiness. Polysomnography revealed severe obstructive sleep apnoea. An attempt to treat sleep apnoea by continuous positive airway pressure failed because of poor compliance. Functional expansion pharyngoplasty was carried out as an initial treatment. Marked improvement of neck movements and normalisation of somnographic parameters were observed at six months’ follow up.Conclusion:Patients with Madelung's disease should be examined carefully for potential obstructive sleep apnoea. Although continuous positive airway pressure remains the treatment of choice, specific surgery can be used in those patients who cannot tolerate continuous positive airway pressure therapy.

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