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For those with obstructive sleep apnea unable or unwilling to comply with first line treatment, the surgical intervention has to be adapted to an individual's specific anatomy and physiology, personal preference and disease severity. [114] Uvulopalatopharyngoplasty with or without is the most common surgery for patients with obstructive sleep ...
More than half of people with obstructive sleep apnea have some degree of positional obstructive sleep apnea, meaning that it gets worse when they sleep on their backs. [69] Sleeping on their sides is an effective and cost-effective treatment for positional obstructive sleep apnea. [69]
On average, obesity reduces life expectancy by six to seven years, [2] [48] a BMI of 30–35 kg/m 2 reduces life expectancy by two to four years, [37] while severe obesity (BMI ≥ 40 kg/m 2) reduces life expectancy by ten years. [37]
[5] [15] In the 1960s, various further discoveries were made that led to the distinction between obstructive sleep apnea and sleep hypoventilation. [16] The term "Pickwickian syndrome" has fallen out of favor because it does not distinguish obesity hypoventilation syndrome and sleep apnea as separate disorders (which may coexist). [16] [17]
The American Academy of Sleep Medicine uses RDI to determine the severity of Obstructive Sleep Apnea according to the following range: 5–14.9 for mild, 15–29.9 for moderate, and 30+ for severe, similar to the one used in the AHI. [6]
Central hypoventilation syndrome (CHS) is a sleep-related breathing disorder that causes ineffective breathing, apnea, or respiratory arrest during sleep (and during wakefulness in severe cases). CHS can either be congenital (CCHS) or acquired (ACHS) later in life. The condition can be fatal if untreated. CCHS was once known as Ondine's curse.
Sleep apnea is measured by the apnea-hypopnea index (AHI). An AHI is determined with a sleep study. AHI values for adults are categorized as: [2] [3] Normal: AHI<5; Mild sleep apnea: 5≤AHI<15; Moderate sleep apnea: 15≤AHI<30; Severe sleep apnea: AHI≥30; An episode is when a person hesitates to breathe or stops their breathing altogether.
Obstructive sleep apnea is more common among overweight patients, and occurs when the airway is fully or partially blocked at times during sleep. Any air that does sneak by the blocked passage can cause loud snoring. The second type of sleep apnea, central sleep apnea, is much more rare and has to do with the part of the brain that regulates ...