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Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) syndrome is a common disorder that has received much attention by the medical community due to its potentially serious physiological consequences. The clinical significance of OSA results from hypoxemia and sleep fragmentation caused by collapse of the airway, which leads to apnea or hypopnea during sleep.

Additional symptoms include snoring, daytime sleepiness, and fatigue. As OSA progresses, cognitive dysfunction, inability to concentrate, memory and judgment impairment, irritability, and depression can develop, leading to work and social problems. Systemic consequences of OSA include hypertension, cardiac arrhythmias, pulmonary hypertension, cor pulmonale, left ventricular dysfunction, stroke, and death.

Obstructive Sleep Apnea (OSA) is serious please watch this short video.

 

Nonsurgical options for treating OSA include weight loss, changing sleep posture, oral appliance therapy, external nasal support devices, medication therapy, and continuous positive airway pressure (CPAP) therapy.

Surgical treatment options include tracheostomy, mandibular osteotomy with genioglossus or inferior border advancement, uvulopalatopharyngoplasty (UPPP), laser-assisted uvuloplasty (LAUP), reduction glossectomy, internal and external nasal reconstruction, tonsillectomy and adenoidectomy, and advancement of the upper and lower jaws (Orthognathic Surgery.)

 

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