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Journals / Ege Üniversitesi Diş Hekimliği Fakültesi / 2021 / Cilt: 42 - Sayı: 1

Current Approaches in Diagnosis and Treatment Modalities of Obstructive Sleep Apnea Syndrome

Obstrüktif Uyku Apne Sendromunda Tanı ve TedaviYöntemlerinde Güncel Yaklaşımlar

Ece UÇAR
Işıl ÇEKİÇ NAGAŞ
Pages
37–48
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of this review is to report currentdiagnosis and treatment methods related to OSAS in terms of choosing and applying the appropriate treatment method to thepatient.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Obstructive sleep apnea syndrome (OSAS) is a complex disease characterized with partial or complete obstruction of the upperrespiratory tract and oxygen desaturation.
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Key Findings & Data:The prevelance is high and a lot of people suffer from this disorder all around the world.The most common results of OSAS are upper airway collapse, snoring and respiratory arrest.
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Conclusion & Impact:The aim of this review is to report currentdiagnosis and treatment methods related to OSAS in terms of choosing and applying the appropriate treatment method to thepatient.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Obstructive sleep apnea syndrome (OSAS) is a complex disease characterized with partial or complete obstruction of the upperrespiratory tract and oxygen desaturation. The prevelance is high and a lot of people suffer from this disorder all around the world.The most common results of OSAS are upper airway collapse, snoring and respiratory arrest. Diagnosing and treating is offundamental importance, and involves multiple specialties cooperating. Full overnight polysomnography (PSG) is the gold standardfor diagnosis. The treatment options should be choosen according to the severity of the disease and patient’s expectations.Treatment options are divided into two as surgical and non-surgical options. Continuous Positive Airway Pressure (CPAP)treatment, oral appliance therapy and mandibular advancement surgery are the commonly preferred treatment modalities. CPAPtreatment is still accepted as the gold standard in treatment of OSAS. The mandibuler advancement appliance is preferred by theclinicians and the patients, due to their ease of use when compared with CPAP treatment. The aim of this review is to report currentdiagnosis and treatment methods related to OSAS in terms of choosing and applying the appropriate treatment method to thepatient.

Özet

Obstrüktif Uyku Apnesi Sendromu (OUAS), üst solunum yollarının kısmen veya tamamen tıkanması ve oksijen desatürasyonu ilekarakterize karmaşık bir hastalıktır. OUAS prevalansı çok yüksektir ve tüm dünyada birçok insan bu rahatsızlıktan muzdariptir.OUAS’nın en yaygın sonuçları; üst hava yolu kollapsı, horlama ve solunumun durmasıdır. Teşhis ve tedavi temel bir öneme sahiptirve iş birliği yapan birçok uzmanlık alanı içermektedir. Hastalığın tanısında, gece boyunca yapılan polisomnografi (PSG) altınstandart olarak kabul edilmektedir. Tedavi seçenekleri, hastalığın ciddiyetine ve hastanın beklentilerine göre seçilmelidir. SürekliPozitif Havayolu Basıncı (CPAP; SPHB) tedavisi, oral aparey tedavisi ve mandibuler ilerletme cerrahisi yaygın olarak tercih edilentedavi yöntemleridir. SPHB tedavisi halen OUAS tedavisinde altın standart olarak kabul edilmektedir. Mandibuler ilerletme apareyi,SPHB tedavisi ile karşılaştırıldığında, hastalara kullanım kolaylığı sağladığı için klinisyenler ve hastalar tarafından tercihedilmektedir. Bu derlemenin amacı, hastaya uygun tedavi yönteminin seçilmesi ve uygulanması açısından OUAS ile ilgili mevcuttanı ve tedavi yöntemleri hakkında bilgi vermektir.

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Cite This Article

UÇAR, E., NAGAŞ, I. Ç. (2022). Current Approaches in Diagnosis and Treatment Modalities of Obstructive Sleep Apnea Syndrome. Ege Üniversitesi Diş Hekimliği Fakültesi, Cilt: 42 - Sayı: 1, 37–48. https://ajindex.com/articles/496269

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References (18)

  1. Attanasio, R., & Bailey, D. R. Dental management of sleep disorders. John Wiley & Sons, ABD. 2009, 3-31
  2. Faber, J., Faber, C., & Faber, A. P. Obstructive sleep apnea in adults. Dental press J Orthod 2019; 24(3): 99- 109
  3. Şahin L, Aşçioğlu M. Sleep and Regulation of Sleep. Journal of Health Sciences 2013; 22(1): 93–98
  4. Kryger MH, Roth T, Dement WC. Principles and Practice of Sleep Medicine: Fifth Edition. 2010; 1–1723
  5. AlRumaih HS, Baba NZ, AlShehri A, et al. Obstructive Sleep Apnea Management: An Overview of the Literature. J Adv Prosthodont 2018; 27(3): 260–265
  6. Wang W, Di C, Mona S, et al. Tongue function: An underrecognized component in the treatment of obstructive sleep apnea with mandibular repositioning appliance. Can Respir J 2018: 1-7
  7. Ngiam J, Balasubramaniam R, Darendeliler MA, et al. Clinical guidelines for oral appliance therapy in the treatment of snoring and obstructive sleep apnoea. Aust Dent J 2013; 58(4): 408–419
  8. Society TT. Türk toraks derneğı̇ obstrüktı̇f uyku apne sendromu tani ve tedavı̇ uzlaşı raporu. Türk Toraks Dergisi 2012; 13: 66
  9. Flemons WW, Buysse D, Redline S, et al. Sleep-related breathing disorders in adults: Recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999; 22(5): 667–689
  10. Cistulli PA, Sutherland K. Phenotyping obstructive sleep apnoea. Bringing precision to oral appliance therapy. J Oral Rehabil 2019; 46 (12): 1185–1192
  11. Peppard PE, Young T, Palta M, et al. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 2000; 284(23): 3015–3021
  12. Isono S. Obesity and obstructive sleep apnoea: Mechanisms for increased collapsibility of the passive pharyngeal airway. Respirology 2012; 17(1): 32–42
  13. Kim AM, Keenan BT, Jackson N et al. Tongue fat and its relationship to obstructive sleep apnea. Sleep. 2014; 37(10): 1639-1648
  14. Schwartz AR, Patil SP, Squier S, et al. Obesity and upper airway control during sleep. J Appl Physiol 2010; 108(2): 430-435
  15. Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008; 5(2): 136–143
  16. Krishnan V, Dixon-Williams S, Thornton JD. Where There Is Smoke…There Is Sleep Apnea: Exploring the Relationship Between Smoking and Sleep Apnea. Chest 2014; 146(6): 1673–1680
  17. Kasai T, Motwani SS, Elias RM, et al. Influence of rostral fluid shift on upper airway size and mucosal water content. J Clin Sleep Med 2014; 10(10): 1069–1074
  18. Toraldo, D. M, P