Comparison of anatomic and aerodynamic characteristics of the upper airway among edentulous mild, moderate and severe obstructive sleep apnea in older adults

2021 ◽  
Author(s):  
Hui Chen ◽  
Emami Elham ◽  
Yingguang Li ◽  
Shaohua Ge ◽  
Matthieu Schmittbuhl ◽  
...  
Keyword(s):  
Older Adults ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Upper Airway ◽  
Aerodynamic Characteristics ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep

scholarly journals 0536 Response to Upper Airway Stimulation in Older Adults with Moderate to Severe Obstructive Sleep Apnea

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A200-A201
Author(s):  
P J Strollo ◽  
K Withrow ◽  
A Schell ◽  
R Soose ◽  
R Mehra ◽  
...  
Keyword(s):  
Older Adults ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Upper Airway ◽  
Severe Obstructive Sleep Apnea ◽  
Upper Airway Stimulation ◽  
Obstructive Sleep

Clinical Experience with Lingualplasty as Part of the Treatment of Severe Obstructive Sleep Apnea

1992 ◽  
Vol 107 (1) ◽  
pp. 40-48 ◽  
Author(s):  
B. Tucker Woodson ◽  
Shiro Fujita
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Tongue Base ◽  
Entire Group ◽  
Severe Obstructive Sleep Apnea ◽  
Direct Modification ◽  
Obstructive Sleep ◽  
Respiratory Disturbance

Because uvulopalatopharyngoplasty (UPPP) as the sole procedure for severe obstructive sleep apnea syndrome (OSAS) is often inadequate, multiple other procedures have been developed. These have been directed at other sites of potential collapse of the upper airway. Initial experience with midline glossectomy (MLG) has shown direct modification of the tongue base to be an effective procedure in a subset of patients with OSAS. Lingualplasty, a modification of MLG, is demonstrated to provide an improved response rate. Twenty-two consecutive patients with severe OSAS and Fujita type II airway classification (retropalatal, oropharyngeal, and hypopharyngeal compromise) underwent lingualplasty. Fourteen patients had previously undergone unsuccessful UPPP. Eight had synchronous lingualplasty and UPPP. All were selected for lingualplasty because of obstructive tongue base anatomy. Responders were defined as having a respiratory disturbance index (RDI) of less than 20 events/hour. For the entire group, 17 of 22 (77%) were classified as responders, with RDI decreasing from 58.8 ± 39.5 events/hour to 8.1 ± 6.2 events/hour. Lingualplasty, as an isolated procedure, resulted in a 79% responder rate, with RDI decreasing from 50.2 events/hour to 8.6 events/hour. There were no significant changes in the RDI of the nonresponder groups. No differences were identified that discriminated responders from nonresponders, including age, body mass index, or cephalometry. There were six complications (27%), including bleeding (3), tongue edema (1), prolonged odynophagia (1), and subcutaneous emphysema related to tracheotomy (1). All resolved with treatment. These results indicate that in appropriately selected patients who do not respond to UPPP, lingualplasty Is a significant improvement over MLG.

Upper airway changes in severe obstructive sleep apnea: upper airway length and volumetric analyses using 3D MDCT

2010 ◽  
Vol 131 (5) ◽  
pp. 527-532 ◽  
Author(s):  
Eun Joong Kim ◽  
Ji Ho Choi ◽  
Yeon Soo Kim ◽  
Tae Hoon Kim ◽  
Sang Hag Lee ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Upper Airway ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep

scholarly journals “Wakeup” to Reality!

2019 ◽  
pp. 488-500
Author(s):  
Madeleine Grigg-Damberger
Keyword(s):  
Older Adults ◽  
Obstructive Sleep Apnea ◽  
Ischemic Stroke ◽  
Sleep Apnea ◽  
Transient Ischemic Attack ◽  
Epworth Sleepiness Scale ◽  
Severe Obstructive Sleep Apnea ◽  
Younger Adults ◽  
Obstructive Sleep ◽  
Ischemic Attack

A small-vessel left paramedian pontine ischemic infarction on awakening from sleep in a 74-year-old woman with hypercholesterolemia triggered an evaluation for untreated severe obstructive sleep apnea (OSA). This case illustrates how the clinical presentation of OSA is different in older and younger adults. Older adults with OSA are more likely to report not feeling well rested in the morning, to have higher scores on the Epworth Sleepiness Scale, and to have greater frequency of nocturia. It is important to consider untreated OSA in patients who have ischemic stroke on awakening from sleep. Most strokes occur between 6 a.m. and noon, but strokes during sleep warrant consideration of untreated OSA. OSA is highly prevalent in patients after stroke or transient ischemic attack. OSA is associated with poorer outcomes after ischemic strokes.

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