Screening for obstructive sleep apnea (OSA) with in-laboratory polysomnography is recommended for children with sleep disordered breathing. Adenotonsillectomy is the first-line therapy for pediatric OSA, although intranasal steroids and montelukast…
Traditional upper airway surgery directly modifies skeletal and soft tissue structures surrounding the airway to treat obstructive sleep apnea (OSA). Upper airway stimulation (UAS) attempts to treat upper airway obstruction…
Multilevel surgery has been established as the mainstay of treatment for the surgical management of obstructive sleep apnea (OSA). Combined with uvulopalatopharyngoplasty, tongue-base surgeries, including the genioglossus advancement (GA), sliding…
Surgical intervention for obstructive sleep apnea (OSA) is a complex topic. The discussion involves intricate procedures targeting specific areas of the upper airway. Because of the wide variety of physiologic…
Key points • Drug-induced sleep endoscopy (DISE) is an upper airway evaluation technique with 3 key features: the use of pharmacologic agents to achieve sedation, the target depth of sedation…
Key points • The standard treatment for patients with obstructive sleep apnea syndrome is positive airway pressure (PAP) therapy (continuous PAP, bilevel PAP, auto titrating CPAP). • Alternative therapies for…
Obstructive sleep apnea is a common condition, primarily caused by narrowing of the nasal and pharyngeal airway. Treatment with continuous positive airway pressure (CPAP) is considered the first line of…
Key points • Uvulopalatoplasty is used to treat patients with obstructive sleep apnea (OSA) who have narrowing of the retro-palatal area of the pharynx. • There have been many descriptions…
There is more information on a sleep study report than just the Apnea-Hypopnea Index or Respiratory Disturbance Index. This article explains how to evaluate any sleep study report to get…
Positive airway pressure (PAP) is considered first-line therapy for moderate to severe obstructive sleep apnea and may also be considered for mild obstructive sleep apnea, particularly if it is symptomatic…
