Treatments for obstructive sleep apnea: CPAP and beyond

被引:9
作者
Aboussouan, Louth S. [1 ,2 ,3 ,4 ]
Bhat, Aparna [4 ,5 ]
Coy, Todd [3 ,6 ]
Kominsky, Alan [3 ,7 ]
机构
[1] Cleveland Clin, Ctr Restrict Thorac Disorders, Dept Pulm Med, Cleveland, OH 44195 USA
[2] Cleveland Clin, Ctr Restrict Thorac Disorders, Dept Sleep Disorders, Cleveland, OH 44195 USA
[3] Case Western Reserve Univ, Cleveland Clin Lerner Coll Med, Cleveland, OH USA
[4] Cleveland Clin, Dept Pulm Med, A90,9500 Euclid Ave, Cleveland, OH 44195 USA
[5] Cleveland Clin, Dept Sleep Disorders, Cleveland, OH 44195 USA
[6] Cleveland Clin, Dept Dent, Cleveland, OH 44195 USA
[7] Cleveland Clin, Dept Otolaryngol & Head & Neck Surg, Cleveland, OH 44195 USA
关键词
POSITIVE AIRWAY PRESSURE; REDUCES BLOOD-PRESSURE; ORAL APPLIANCE; OROPHARYNGEAL EXERCISES; MANDIBULAR ADVANCEMENT; MYOFUNCTIONAL THERAPY; AMERICAN ACADEMY; EPAP DEVICE; WEIGHT-LOSS; MODERATE;
D O I
10.3949/ccjm.90a.23032
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Treatment options for obstructive sleep apnea include positive airway pressure and alternatives such as behavioral interventions, oral appliances, nasal expiratory positive airway pressure, negative pressure interventions, and surgical procedures. Certain drugs are also promising. An important aspect of the treatment includes troubleshooting the reasons for poor adherence to positive airway pressure treatment, discussing alternatives based either on individual preference or on phenotypic characterization of the sleep apnea, and managing expectations.
引用
收藏
页码:755 / 765
页数:11
相关论文
共 116 条
[11]   PROTRIPTYLINE IN OBSTRUCTIVE SLEEP-APNEA - A DOUBLE-BLIND TRIAL [J].
BROWNELL, LG ;
WEST, P ;
SWEATMAN, P ;
ACRES, JC ;
KRYGER, MH .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 307 (17) :1037-1042
[12]   Bariatric surgery: A systematic review and meta-analysis [J].
Buchwald, H ;
Avidor, Y ;
Braunwald, E ;
Jensen, MD ;
Pories, W ;
Fahrbach, K ;
Schoelles, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (14) :1724-1737
[13]   Impact of Alcohol Consumption on Snoring and Sleep Apnea: A Systematic Review and Meta-analysis [J].
Burgos-Sanchez, Christian ;
Jones, Nolan N. ;
Avillion, Michael ;
Gibson, Steven J. ;
Patel, Jagatkumar A. ;
Neighbors, John ;
Zaghi, Soroush ;
Camacho, Macario .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2020, 163 (06) :1078-1086
[14]   Hypertension and obstructive sleep apnea [J].
Cai, Anping ;
Wang, Ling ;
Zhou, Yingling .
HYPERTENSION RESEARCH, 2016, 39 (06) :391-395
[15]   Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis [J].
Camacho, Macario ;
Certal, Victor ;
Abdullatif, Jose ;
Zaghi, Soroush ;
Ruoff, Chad M. ;
Capasso, Robson ;
Kushida, Clete A. .
SLEEP, 2015, 38 (05) :669-+
[16]   Surgical Modifications of the Upper Airway for Obstructive Sleep Apnea in Adults: A Systematic Review and Meta-Analysis [J].
Caples, Sean M. ;
Rowley, James A. ;
Prinsell, Jeffrey R. ;
Pallanch, John F. ;
Elamin, Mohamed B. ;
Katz, Sheri G. ;
Harwick, John D. .
SLEEP, 2010, 33 (10) :1396-1407
[17]   EFFECT OF SLEEP POSITION ON SLEEP-APNEA SEVERITY [J].
CARTWRIGHT, RD .
SLEEP, 1984, 7 (02) :110-114
[18]   The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea [J].
Chan, Andrew S. L. ;
Sutherland, Kate ;
Schwab, Richard J. ;
Zeng, Biao ;
Petocz, Peter ;
Lee, Richard W. W. ;
Darendeliler, M. Ali ;
Cistulli, Peter A. .
THORAX, 2010, 65 (08) :726-732
[19]   Predictors of success in hypoglossal nerve stimulator implantation for obstructive sleep apnea [J].
Chao, Tiffany N. ;
Thaler, Erica R. .
WORLD JOURNAL OF OTORHINOLARYNGOLOGY-HEAD & NECK SURGERY, 2021, 7 (01) :40-44
[20]   Phenotypes of responders to mandibular advancement device therapy in obstructive sleep apnea patients: A systematic review and meta-analysis [J].
Chen, Hui ;
Eckert, Danny J. ;
van der Stelt, Paul F. ;
Guo, Jing ;
Ge, Shaohua ;
Emami, Elham ;
Almeida, Fernanda R. ;
Huynh, Nelly T. .
SLEEP MEDICINE REVIEWS, 2020, 49