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Obstructive sleep apnea - Highlights

Description

An in-depth report on the causes, diagnosis, treatment, and prevention of obstructive sleep apnea.

Highlights:

Obstructive Sleep Apnea

Obstructive sleep apnea is a common sleep disorder. It occurs when tissues in the upper airways come too close to each other during sleep, temporarily blocking the inflow of air.

Who Is At Risk

Obstructive sleep apnea can develop in anyone at any age but most often occurs in people who are:

  • Overweight
  • Male
  • Age 40 or older
  • Smokers

Sleep Apnea Symptoms

Symptoms of sleep apnea include:

  • Excessive daytime sleepiness
  • Morning headaches
  • Impaired emotional or mental functioning
  • Snoring

Lifestyle Changes

Patients with sleep apnea may find these lifestyle changes helpful:

  • Sleep on your side, not your back. Special pillows can help maintain this position.
  • If you smoke, quit.
  • Do not drink alcohol within 4 hours of bedtime.
  • If you are overweight, even a small amount of weight loss may have a beneficial effect on sleep apnea symptoms.

Treatment

The treatment of obstructive sleep apnea depends in part on the severity of the condition. Treatment options include:

  • Dental devices. Dental devices, also called oral appliances, are custom-made mouthpieces that help position the lower jaw and tongue during sleep. Dental devices may be helpful for mild cases of obstructive sleep apnea.
  • Breathing devices. Continuous positive airway pressure (CPAP) devices are the most common treatment for moderate-to-severe obstructive sleep apnea. Although these devices can take some time to get used to, they are a very effective treatment.
  • Surgery. Various surgical procedures may be recommended for very severe cases of obstructive sleep apnea.

Resources

References

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Bradley TD, Floras JS. Obstructive sleep apnoea and its cardiovascular consequences. Lancet. 2009 Jan 3;373(9657):82-93. Epub 2008 Dec 26.

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Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of obstructive sleep apnea in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Mar.

Kezirian EJ, Weaver EM, Yueh B, Khuri SF, Daley J, Henderson WG. Risk factors for serious complication after uvulopalatopharyngoplasty. Arch Otolaryngol Head Neck Surg. 2006 Oct;132(10):1091-8.

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Marshall NS, Wong KK, Liu PY, Cullen SR, Knuiman MW, Grunstein RR. Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep. 2008 Aug 1;31(8):1079-85.

Morgenthaler T, Alessi C, Friedman L, Owens J, Kapur V, Boehlecke B, et al. Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Sleep. 2007 Apr 1;30(4):519-29.

Morgenthaler TI, Aurora RN, Brown T, Zak R, Alessi C, Boehlecke B, et al. Practice parameters for the use of autotitrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. An American Academy of Sleep Medicine report. Sleep. 2008 Jan 1;31(1):141-7.

Morgenthaler TI, Kapen S, Lee-Chiong T, Alessi C, Boehlecke B, Brown T, Coleman J, et al. Practice parameters for the medical therapy of obstructive sleep apnea. Sleep. 2006 Aug 1;29(8):1031-5.

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  • Reviewed last on: 6/23/2009
  • Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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