scholarly journals Obstructive sleep apnea: A case report on uvulopalatopharyngoplasty and tongue reduction as a first line treatment modality in an underprivileged economic status

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dayaratna J ◽  
Nisahan B ◽  
Wijesinghe S ◽  
Peranantharajah T ◽  
Samarasinghe B
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Treatment Modality ◽  
Economic Status ◽  
Line Treatment ◽  
First Line ◽  
Obstructive Sleep ◽  
Tongue Reduction ◽  
First Line Treatment

scholarly journals Effect of otolaryngology residency program on confidence of obstructive sleep apnea managements

2020 ◽  
Author(s):  
Khosro Sadeghniiat-Haghighi ◽  
Farrokh Heidari ◽  
Saeed Sohrabpour ◽  
Arezu Najafi ◽  
Seyyed Amir Yasin Ahmadi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Residency Training Program ◽  
Attitude Score ◽  
Line Treatment ◽  
First Line ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
First Line Treatment

Abstract Background According to the importance of obstructive sleep apnea syndrome managements by otolaryngologists, this study was designed to investigate knowledge, attitudes and practice of junior and senior residents of otolaryngology and evaluate the effect of current residency training program on choosing the first lines of treatment. Methods A total of 110 residents of otolaryngology were selected. Our study tools were obstructive sleep apnea knowledge and attitudes (OSAKA and OSAKA-KIDS) questionnaires. The participants were classified as junior and senior. Results Senior residents had significantly higher total knowledge score for OSAKA based on independent t test (12.73 VS 10.52). No significant difference was observed for OSAKA-KIDS (11.31 VS 10.69). Also, senior residents had significantly higher total attitude score (except management with CPAP) for OSAKA. The most frequent choice for the first line treatment was CPAP (63.8%) and weight loss (41.5%) among junior and senior residents, respectively. Conclusions Although the knowledge of otolaryngology residents increased during their program, the choice of first line treatment in obstructive sleep apnea was different between junior and senior residents. We found a need for further multidisciplinary education for residents especially in the management of sleep apnea particularly toward CPAP usage and this syndrome in pediatrics.

scholarly journals Factors Associated with Successful Treatment by Radiofrequency Treatment of the Soft Palate in Obstructive Sleep Apnea as the First-Line Treatment

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Nuntigar Sonsuwan ◽  
Kongsak Rujimethabhas ◽  
Kittisak Sawanyawisuth
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Soft Palate ◽  
Successful Treatment ◽  
Line Treatment ◽  
First Line ◽  
Factors Associated ◽  
Obstructive Sleep ◽  
Baseline Values ◽  
First Line Treatment

Background. Radiofrequency ablation (RFA) is recommended as the second-line treatment for obstructive sleep apnea (OSA). This study aims to study the factors associated with successful treatment by RFA in OSA patients as the first-line treatment.Methods. All patients diagnosed as mild to moderate OSA were enrolled prospectively and treated with RFA. Three points of soft palate were ablated: midline, left, and right paramedian sites. Baseline characteristics and clinical factors including snoring score (SS), Epworth Sleepiness Scale (ESS), and apnea-hypopnea index (AHI), with minimal oxygen saturation, were recorded at baseline and three months after treatment.Results. During the study period, there were 51 patients who met the study criteria and received RFA treatment. At three months, the SS, ESS, and AHI were significantly lower than baseline values, while the minimal oxygenation was significantly increased from the baseline values. There were 16 patients (31.37%) who had an AHI of < 5 times/h. Only baseline AHI was significantly associated with an AHI of < 5 times/h at three months after RFA treatment. The adjusted odds ratio was 0.804 (95% CI: 0.699, 0.924).Conclusion. Transoral RFA treatment may be effective in mild to moderate OSA as the first-line treatment. Baseline AHI is associated with preferable outcome by RFA treatment.

Refractory eosinophilic fasciitis successfully treated with infliximab: A case report

2021 ◽  
pp. 239719832110043
Author(s):  
Paulina Śmigielska ◽  
Justyna Czarny ◽  
Jacek Kowalski ◽  
Aleksandra Wilkowska ◽  
Roman J. Nowicki
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Treatment Failure ◽  
Immunosuppressive Drugs ◽  
Unknown Etiology ◽  
High Dose ◽  
Eosinophilic Fasciitis ◽  
Line Treatment ◽  
First Line ◽  
First Line Treatment

Eosinophilic fasciitis is a rare connective tissue disease of unknown etiology. Therapeutic options include high-dose corticosteroids and other immunosuppressive drugs. We present a typical eosinophilic fasciitis case, which did not respond to first-line treatment, but improved remarkably after infliximab administration. This report demonstrates that in case of initial treatment failure, infliximab might be a relatively safe and effective way of eosinophilic fasciitis management.

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