Stellenwert der Nicht-nCPAP-Verfahren in der Therapie des obstruktiven Schlafapnoe-Syndroms. Relevance of Non-CPAP Treatment Options in the Therapy of the Obstructive Sleep Apnoea Syndrome

Randerath, Winfried; Bauer, Maximilian; Blau, Alexander; Fietze, Ingo; Galetke, Wolfgang; Hein, Holger; Maurer, Joachim T.; Orth, M.; Rasche, Kurt; Rühle, K. H.; Sanner, Bernd; Stuck, Boris A.; Verse, Thomas

doi:10.1111/j.1439-054x.2006.00082.x

Cited by 7 publications

(3 citation statements)

References 245 publications

(209 reference statements)

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“…MMA seems to be as efficient as CPAP in patients with OSA who refuse conservative treatment [330], particularly in a young population without excessive BMI or other comorbidities. Therefore, MMA is recommended in this selected group of patients.…”

Section: Conclusion and Recommendationsmentioning

confidence: 95%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

306

189

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In view of the high prevalence and the relevant impairment of patients with obstructive sleep apnoea syndrome (OSAS) lots of methods are offered which promise definitive cures for or relevant improvement of OSAS.This report summarises the efficacy of alternative treatment options in OSAS.An interdisciplinary European Respiratory Society task force evaluated the scientific literature according to the standards of evidence-based medicine.Evidence supports the use of mandibular advancement devices in mild to moderate OSAS. Maxillomandibular osteotomy seems to be as efficient as continuous positive airway pressure (CPAP) in patients who refuse conservative treatment. Distraction osteogenesis is usefully applied in congenital micrognathia or midface hypoplasia. There is a trend towards improvment after weight reduction. Positional therapy is clearly inferior to CPAP and long-term compliance is poor. Drugs, nasal dilators and apnoea triggered muscle stimulation cannot be recommended as effective treatments of OSAS at the moment. Nasal surgery, radiofrequency tonsil reduction, tongue base surgery, uvulopalatal flap, laser midline glossectomy, tongue suspension and genioglossus advancement cannot be recommended as single interventions. Uvulopalatopharyngoplasty, pillar implants and hyoid suspension should only be considered in selected patients and potential benefits should be weighed against the risk of long-term side-effects. Multilevel surgery is only a salvage procedure for OSA patients.

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Section: Conclusion and Recommendationsmentioning

confidence: 95%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

306

189

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“… Treatment of OSAHS patients by surgery at the bony level: Surgery at the bony level of the oculus mainly includes the advancement of the upper and lower collar bones and the treatment of OSAHS by expanding the volume of the bony airway. The therapeutic effect of this type of surgery on OSAHS is comparable to that of CPAP [ 28 ]. A meta-analysis also pointed out that osteoarthritis can be used as a reoperation option for most patients with high residual AHI after the failure of OSAHS surgery [ 29 ], given in Table 1 .…”

Section: Related Workmentioning

confidence: 99%

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

Lin

2021

Journal of Healthcare Engineering

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Background. Respiratory disorder is a disease with a very high incidence, in which obstructive apnea-hypopnea syndrome is the most harmful. It has become a common and frequently occurring disease, which seriously influences the health of the affected population. The pathogenesis of obstructive sleep apnea/hypopnea syndrome (OSAHS) is numerous. With the continuous research on OSAHS disease, it has been found that one of its main pathogeneses is caused by the anatomical characteristics of upper airway obstruction induced during sleep. The narrowing and collapse of any plane can affect the ventilation of the upper respiratory tract. In recent years, with the deepening of research, the importance of the upper respiratory tract obstruction as a source of the disease has attracted increasing attention. Nasal stenosis can cause increased nasal resistance, increased pharyngeal inhalation negative pressure, soft palate collapse, and narrow pharyngeal cavity, resulting in open mouth breathing, which can be the initiating factor of the upper airway obstruction. With the development and popularization of nasal endoscopy technology, domestic and foreign scholars have reported more on the treatment of rhinogenic OSAHS with nasal cavity expansion, but they are different. There is still more controversy; the main controversy centered on the effective rate of surgical treatment and the improvement of objective indicators. Therefore, this study performed individualized nasal cavity expansion for patients with OSAHS who are mainly rhinogenic, from subjective symptoms, objective indicators, and effective rate of surgery. Methods and Patients. Conduct research and analysis to provide references for the clinical treatment of such patients. For patients with the obstructive apnea-hypopnea syndrome with nasal congestion, individualized nasal cavity expansion was performed to study the clinical effect of nasal cavity expansion in the treatment of OSAHS. This article mainly screens cases through big data and selects a large hospital in China to perform individualized nasal cavity expansion surgery to treat 43 adult OSAHS patients with nasal congestion. Results. There are uploaded sleep monitoring, nasal reflex, nasal resistance, and nasal symptoms before and after surgery. Conclusion. Spirometer examination records, along with apnea-hypopnea index and minimum arterial blood oxygen saturation, the minimum cross-sectional area of the nasal cavity, nasal cavity volume, nasal airway resistance, total nasal respiratory volume, and other information. Also we fill in the nasal obstruction symptom assessment scale, sleepiness scale, and study and analyze the surgical effect of nasal cavity expansion.

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“…Multi-level surgery-In most cases of moderate to severe OSA the entire upper airway is obstructed. Based on that concept multi-level surgery addresses the palate as well as the hypopharynx, combining procedures at both levels during one single operation if nasal ventilation is rejected or abandoned in spite of intensive care for the patient 15 . As with any other treatment modalities for OSA, surgical therapies have variable efficacy, but are a very important tool on OSA management in selected patients and have been shown effectiveness in decreasing the morbidity and mortality associated with the disease 16 .…”

Section: Minimally Invasive Surgeriesmentioning

confidence: 99%

Lifestyle modifications in the management of obstructive sleep apnea

Mann¹,

Soni²,

Jaryal³

et al. 2022

ijhs

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Obstructive sleep apnea (OSA) is an exhausting sleep disorder regulating an individual's routine life. It is the most common type of sleep-disordered breathing and is characterized by recurrent episodes of upper airway collapse during sleep. Besides, several studies are performed to prove the efficacy of lifestyle strategies to resolute OSA in adults. Reducing weight, quitting alcohol and smoking, eating a nutritional diet, and exercising are the modifications to benefit people. This review aims to expand our knowledge of the association between alterations to comportment and better treatment outcomes for sleep apnea.

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Stellenwert der Nicht-nCPAP-Verfahren in der Therapie des obstruktiven Schlafapnoe-Syndroms. Relevance of Non-CPAP Treatment Options in the Therapy of the Obstructive Sleep Apnoea Syndrome

Cited by 7 publications

References 245 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

Lifestyle modifications in the management of obstructive sleep apnea

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