scholarly journals Obstructive Sleep Apnea- treatment methods, patient adherence, and newer techniques

2021 ◽  
Vol 6 (2) ◽  
pp. 65-67
Author(s):  
Jenee Ponkia ◽  
Keyword(s):  
Patient Adherence ◽  
Treatment Options ◽  
Treatment Modalities ◽  
Treatment Methods ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Adequate Knowledge ◽  
Obstructive Sleep ◽  
Pros And Cons ◽  
Osa Treatment

The prevalence of OSA has been found to be high in people of different ages with males higher than 50 years of age being highly affects. The aim of this review is to cover the information regarding the prevalence of OSA and the treatment modalities for the management of OSA. In this review, we consider the pros and cons of each treatment modality for OSA. The review article also describes the patient perspective of the OSA treatment meaning the patient compliance and patient adherence with OSA treatment methods. Treatment methods for OSA such as Continuous Positive Airway Pressure, oral appliances, and relatively newer treatment modalities such as mini-screw assisted rapid palatal expansion have been reviewed in detail in this article. High quality randomized trials with different treatment options are required so that clinicians can get adequate knowledge for treatment of patients with OSA.

Obstructive sleep apnoea and schizophrenia: a primer for psychiatrists

2011 ◽  
Vol 23 (5) ◽  
pp. 201-209 ◽  
Author(s):  
Abdulkader Alam ◽  
Kadiamada Nanaiah Roy Chengappa
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Daytime Sleepiness ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Sleep Apnoea ◽  
Diagnosis And Treatment ◽  
Adverse Health Outcomes ◽  
Ovid Medline ◽  
Obstructive Sleep ◽  
Osa Treatment

Alam A, Chengappa KNR. Obstructive sleep apnoea and schizophrenia: a primer for psychiatristsObjective:The main objective of this review is to improve psychiatric clinician awareness of obstructive sleep apnoea (OSA) and its potential consequences in patients with schizophrenia. This article will also discuss the diagnosis and treatment options for OSA while considering the significant role psychiatrists can play in facilitating the diagnosis and treatment of OSA.Data sources:Ovid, Medline and PsychInfo databases were searched for articles between 1960 and 2010. Search terms used wereSleep apnoeaorapnoeaandschizophreniaorpsychosis. The number of articles retrieved was 38. Articles were carefully reviewed for any data pertinent to OSA in patients with schizophrenia.Conclusions:OSA is a common disorder that is frequently unrecognised. As a chronic breathing condition, OSA is associated with adverse health outcomes and high mortality. OSA may co-occur with schizophrenia or evolve over time, especially with weight gain. The diagnosis should be considered whenever a patient presents with risk factors or clinical manifestations that are highly suggestive of OSA. Those who report snoring, daytime sleepiness and are obese or have a large neck circumference should be considered for an OSA diagnosis. Appropriate diagnosis and treatment of OSA can reduce daytime sleepiness, improve cardiovascular and other medical conditions, as well as reduce mortality. Psychiatrists can play very important role in suspecting OSA in their patients and making the initial referral. Furthermore, behavioural management, especially promoting weight loss and smoking cessation, are effective components of OSA treatment that psychiatrists are positioned to facilitate with their patients.

scholarly journals MARPE for the treatment and cure of OSAS: Aruba experience

2020 ◽  
Vol 11 (5) ◽  
pp. 103-107
Author(s):  
Abdal Hadi Kawaiah ◽  
Ananda Kumar Kondepati ◽  
Shalini Devaprasad Pasumarthi ◽  
Tulika Mishra ◽  
Pratik Kumar Singh ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Maxillomandibular Advancement ◽  
Obstructive Sleep ◽  
Mandibular Repositioning Appliance ◽  
Apnea Syndrome

Obstructive sleep apnea syndrome (OSAS) is defined as “the stoppage of ventilation or incidence of significant hypoventilation during sleep, which is characterized by episodes of partial or complete upper airway obstruction related with hypoxemia and/or hypercarbia. There have been many treatments reported for this syndrome including Mandibular repositioning appliance (MRA), continuous positive airway pressure (CPAP), weight loss, exercise, intraoral appliance therapy, soft tissue procedures, and maxillomandibular advancement (MMA) surgery. Present study is an attempt where three patients of OSAS have been treated withMiniscrew-assisted rapid palatal expansion (MARPE). The results of BMI, AHI index showed the promising effect. Even the use of MARPE has improved the air flow and increased the rapid palatal area.

scholarly journals Challenges in Diagnosing and Treating Obstructive Sleep Apnoea in Children

2018 ◽  
Vol 4 (1) ◽  
pp. 23
Author(s):  
Refika Ersu ◽  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Treatment Options ◽  
Combined Treatment ◽  
Sleep Apnoea ◽  
Treatment Modalities ◽  
Obstructive Sleep ◽  
Respiratory Polygraphy ◽  
Weight Loss Interventions ◽  
Multiple Health ◽  
Prompt Diagnosis

Prompt diagnosis and treatment of obstructive sleep apnoea in children is essential to prevent multiple health consequences, but distinctive symptoms are scarce. While overnight polysomnography is the standard diagnostic tool, it is not widely available. Nocturnal oximetry, respiratory polygraphy and standardised questionnaires are useful alternatives. Treatment options include positive airway pressure, weight loss interventions and anti-inflammatory treatment with nasal corticosteroids and/or oral montelukast. Combined treatment modalities may improve outcomes.

scholarly journals A case of fatal acute fatty liver of pregnancy and literature review

2018 ◽  
Vol 7 (5) ◽  
pp. 2026
Author(s):  
Irushna Antonette Perera ◽  
Jebananthy Anandaselvam Pradeepan ◽  
Uruthirapasupathy Mayorathan ◽  
Thirunavukarasu Kumanan Thirunavukarasu Kum ◽  
Kopalasuntharam Muhunthan ◽  
...  
Keyword(s):  
Key Management ◽  
Treatment Options ◽  
Current Treatment ◽  
Treatment Modalities ◽  
Management Options ◽  
Optimal Care ◽  
Acute Fatty Liver ◽  
Pros And Cons ◽  
Novel Therapeutic Strategies ◽  
High Level

AFLP, though rare, is an obstetric emergency which carries a high incidence of maternal and perinatal mortality, despite optimal care. We report a case of a 23-year-old primi mother, who presented to us with vague symptoms of feeling unwell and abdominal pain, was diagnosed with AFLP, and was managed accordingly with the highest level of care available but succumbed a few days into her illness though timely delivery was able to save the baby. By this case report we once again wish to emphasize the value of a timely diagnosis with a high level of clinical suspicion and supportive laboratory investigations including imaging; the need for early termination of pregnancy; and adequate supportive care as the key management options for AFLP. Further, we wish to explore the current treatment options available for AFLP and discuss a few novel therapeutic strategies such as plasma exchange in treating such cases and the pros and cons associated with these treatment modalities.

scholarly journals Personalized treatment of obesity complicated with obstructive sleep apnea syndrome

2014 ◽  
Vol 11 (1) ◽  
pp. 48-52
Author(s):  
N V Strueva ◽  
L V Saveleva ◽  
G A Melnichenko ◽  
M G Poluektov ◽  
N V Gegel
Keyword(s):  
Obstructive Sleep Apnea ◽  
Body Weight ◽  
Sleep Apnea ◽  
Patient Adherence ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Osa Treatment ◽  
Treatment Of Obesity ◽  
Clinical Conditions ◽  
The Impact

Obstructive sleep apnea (OSA) and obesity are mutually burdening clinical conditions. Weight loss is quite effective for the control of breathing disorders during sleep, but the impact of OSA treatment on the dynamics of body weight in obese patients remains poorly studied. Presented clinical case features a significant reduction in body weight in a patient with morbid obesity complicated by severe OSA with contemporary approach and without CPAP therapy due to high patient adherence to therapy and absence of comorbidities.

Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report

2018 ◽  
Vol 42 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Antonio Gracco ◽  
Giovanni Bruno ◽  
Alberto de Stefani ◽  
Rosario Marchese Ragona ◽  
Sergio Mazzoleni ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Open Bite ◽  
Apnea Hypopnea Index ◽  
Severe Obstructive Sleep Apnea ◽  
Anterior Open Bite ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Obstructive Sleep ◽  
Mandibular Retrognathia

An eight-years-old girl showed a restless sleep with snoring and severe apnea episodes, a mandibular retrognathia, mouth breathing, maxillary transverse discrepancy, mandibular transverse discrepancy, moderate crowding and anterior open-bite. The CBCT showed an anterior collapse of the epiglottis. The treatment consisted in a rapid palatal expansion, an epiglottoplasty and a reduction of the tongue base. Polysomnography revealed that apnea-hypopnea index improved from 21,8 episodes/hr at the baseline to 0,6 episodes/hr, average oxygen saturation from 96,5% to 98,1%, oxygen desaturation events from 23,4 episodes/hr to 1/hr.

scholarly journals Treatment options for obstructive sleep apnea

2016 ◽  
Vol 7 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Patrick Pavwoski ◽  
Anita Valanju Shelgikar
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Standard Treatment ◽  
Treatment Options ◽  
Treatment Modalities ◽  
Neurologic Disease ◽  
Surgical Interventions ◽  
Obstructive Sleep ◽  
Wide Range

AbstractPurpose of review:Obstructive sleep apnea (OSA) is a global problem with implications for general health and quality of life, and is often encountered in patients with neurologic disease. This review outlines treatment modalities to consider for management of OSA in patients with neurologic disease.Recent findings:New advances in positive airway pressure (PAP) devices, oral appliances, and surgical interventions offer a wide range of treatment options for patients with OSA.Summary:PAP therapy remains the gold standard treatment for OSA. Other treatment modalities may be considered for OSA patients who decline or cannot tolerate PAP therapy. Some OSA patients may benefit from multimodal treatment.

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