Obstructive Sleep Apnea in Adults: Epidemiology, Clinical Presentation, and Treatment Options

2011 ◽  
pp. 1-42 ◽  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Obstructive Sleep

scholarly journals OSAHS in adolescents: clinical presentation and differential diagnosis

2018 ◽  
Vol 21 (1) ◽  
pp. 106
Author(s):  
N. Beydon
Keyword(s):  
Obstructive Sleep Apnea ◽  
Differential Diagnosis ◽  
Sleep Apnea ◽  
Clinical Presentation ◽  
Transitional Period ◽  
Alternative Diagnosis ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

Adolescent experiment widespread changes as he/ she goes through this transitional period from childhood to adulthood. Sleep is no exception to this changeover with, as consequences, modifications of the clinical pre- sentation of subjects with Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS) and potential different alternative diagnosis.

scholarly journals Clinical presentation of patients with suspected obstructive sleep apnea and self-reported physician-diagnosed asthma in the ESADA cohort

2018 ◽  
Vol 27 (6) ◽  
pp. e12729 ◽  
Author(s):  
Maria R. Bonsignore ◽  
Jean-Louis Pepin ◽  
Ulla Anttalainen ◽  
Sophia E. Schiza ◽  
Ozen K. Basoglu ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Presentation ◽  
Obstructive Sleep

Obstructive Sleep Apnea: An Overview of the Disorder, Consequences, and Treatment Options

2015 ◽  
Vol 1 (2) ◽  
pp. 37
Author(s):  
SameerPralhad Narkhede ◽  
Karthik Shetty ◽  
Sushma Sonawane ◽  
Nitin Gadhiya ◽  
VivekP Soni
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Options ◽  
Obstructive Sleep

scholarly journals Clinical Presentation of Obstructive Sleep Apnea in Patients with Chronic Kidney Disease

2012 ◽  
Vol 08 (04) ◽  
pp. 381-387 ◽  
Author(s):  
David D. M. Nicholl ◽  
Sofia B. Ahmed ◽  
Andrea H. S. Loewen ◽  
Brenda R. Hemmelgarn ◽  
Darlene Y. Sola ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Kidney Disease ◽  
Clinical Presentation ◽  
Obstructive Sleep

scholarly journals Treatment of Obstructive Sleep Apnea in Children: Handling the Unknown with Precision

2020 ◽  
Vol 9 (3) ◽  
pp. 888 ◽  
Author(s):  
David Gozal ◽  
Hui-Leng Tan ◽  
Leila Kheirandish-Gozal
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Options ◽  
A Priori ◽  
Upper Airway ◽  
Surgical Removal ◽  
Low Grade ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Anti Inflammatory

Treatment approaches to pediatric obstructive sleep apnea (OSA) have remarkably evolved over the last two decades. From an a priori assumption that surgical removal of enlarged upper airway lymphadenoid tissues (T&A) was curative in the vast majority of patients as the recommended first-line treatment for pediatric OSA, residual respiratory abnormalities are frequent. Children likely to manifest persistent OSA after T&A include those with severe OSA, obese or older children, those with concurrent asthma or allergic rhinitis, children with predisposing oropharyngeal or maxillomandibular factors, and patients with underlying medical conditions. Furthermore, selection anti-inflammatory therapy or orthodontic interventions may be preferable in milder cases. The treatment options for residual OSA after T&A encompass a large spectrum of approaches, which may be complementary, and clearly require multidisciplinary cooperation. Among these, continuous positive airway pressure (CPAP), combined anti-inflammatory agents, rapid maxillary expansion, and myofunctional therapy are all part of the armamentarium, albeit with currently low-grade evidence supporting their efficacy. In this context, there is urgent need for prospective evidence that will readily identify the correct candidate for a specific intervention, and thus enable some degree of scientifically based precision in the current one approach fits all model of pediatric OSA medical care.

The clinical presentation of obstructive sleep apnea syndrome is different in diabetic patients

2016 ◽  
Author(s):  
Athanasia Pataka ◽  
Despoina Koutsochristou ◽  
Seraphim Kotoulas ◽  
Evdokia Sourla ◽  
Sofia Akritidou ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Clinical Presentation ◽  
Sleep Apnea Syndrome ◽  
Diabetic Patients ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Obstructive Sleep Apnea in a Patient with CHARGE Syndrome

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Carrie-Lee Trider ◽  
Kim Blake
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cranial Nerve ◽  
Genetic Disorder ◽  
Treatment Options ◽  
Choanal Atresia ◽  
Charge Syndrome ◽  
Physical Symptoms ◽  
Obstructive Sleep

CHARGE syndrome is a genetic disorder characterized by choanal atresia, coloboma of the eye, and ear and cranial nerve abnormalities. We report a child with CHARGE syndrome and obstructive sleep apnea. We highlight difficulties in discerning obstructive sleep apnea-related symptoms from typical features of CHARGE syndrome. Treatment options are discussed with regard to our patient. Tonsillectomy and adenoidectomy improved physical symptoms of obstructive sleep apnea in the patient.

A MODEL TO FACILITATE OUTCOME ASSESSMENT OF OBSTRUCTIVE SLEEP APNEA

2003 ◽  
Vol 19 (1) ◽  
pp. 253-260 ◽  
Author(s):  
Seema S. Sonnad ◽  
Cheryl A. Moyer ◽  
Shushma Patel ◽  
Joseph I. Helman ◽  
Susan L. Garetz ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Cost Effectiveness ◽  
Sleep Apnea ◽  
Treatment Plan ◽  
Treatment Options ◽  
Surgical Approaches ◽  
Management Options ◽  
Initial Cost ◽  
Limited Effectiveness ◽  
Obstructive Sleep

Objectives: Obstructive sleep apnea is a common disorder with significant morbidity and effects on quality of life. Management can include a range of mechanical, behavioral, and surgical approaches. This paper aims to devise a model of management options to assist in initial cost-effectiveness investigations.Methods: In the absence of practice pattern data and widely accepted guidelines, we reviewed published literature and devised a model of treatment options to facilitate initial studies of outcomes, costs, and cost-effectiveness.Results: Obstructive sleep apnea is rarely addressed by conservative behavioral-based strategies because these options, while inexpensive, have only limited effectiveness. Effective treatment most often relies on nasal continuous positive airway pressure, but poor tolerance or compliance sometimes leads to treatment with oral appliances or surgery. Patients treated by one modality may try another if the initial strategy is ineffective. Laboratory evidence that sleep apnea is effectively treated, and long-term follow-up, are necessary regardless of the treatment modality chosen.Conclusions: Each patient's treatment plan must be individually tailored, but the management model proposed here reflects available evidence-based literature and the authors' impression of current practice patterns. This model should be useful for initial cost-effectiveness investigations.

Treatment options in obstructive sleep apnea

2014 ◽  
pp. 94-116
Author(s):  
Patrick Lévy ◽  
Jean-Louis Pépin ◽  
Renaud Tamisier ◽  
Sandrine Launois-Rollinat
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Options ◽  
Obstructive Sleep

scholarly journals Self-Reported Sleep Bruxism and Nocturnal Gastroesophageal Reflux Disease in Patients with Obstructive Sleep Apnea: Relationship to Gender and Ethnicity§

2014 ◽  
Vol 8 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Sean Hesselbacher ◽  
Shyam Subramanian ◽  
Shweta Rao ◽  
Lata Casturi ◽  
Salim Surani
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
African Americans ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Clinical Presentation ◽  
Sleep Bruxism ◽  
Restless Legs ◽  
Obstructive Sleep

Study Objectives :Nocturnal bruxism is associated with gastroesophageal reflux disease (GERD), and GERD is strongly associated with obstructive sleep apnea (OSA). Gender and ethnic differences in the prevalence and clinical presentation of these often overlapping sleep disorders have not been well documented. Our aim was to examine the associations between, and the symptoms associated with, nocturnal GERD and sleep bruxism in patients with OSA, and to examine the influence of gender and ethnicity.Methods :A retrospective chart review was performed of patients diagnosed with OSA at an academic sleep center. The patients completed a sleep questionnaire prior to undergoing polysomnography. Patients with confirmed OSA were evaluated based on gender and ethnicity. Associations were determined between sleep bruxism and nocturnal GERD, and daytime sleepiness, insomnia, restless legs symptoms, and markers of OSA severity in each group.Results :In these patients with OSA, the prevalence of nocturnal GERD (35%) and sleep bruxism (26%) were higher than the general population. Sleep bruxism was more common in Caucasians than in African Americans or Hispanics; there was no gender difference. Nocturnal GERD was similar among all gender and ethnic groups. Bruxism was associated with nocturnal GERD in females, restless legs symptoms in all subjects and in males, sleepiness in African Americans, and insomnia in Hispanics. Nocturnal GERD was associated with sleepiness in males and African Americans, insomnia in females, and restless legs symptoms in females and in Caucasians.Conclusion :Patients with OSA commonly have comorbid sleep bruxism and nocturnal GERD, which may require separate treatment. Providers should be aware of differences in clinical presentation among different ethnic and gender groups.

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