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Other Therapies and Emerging Options for Management of OSA

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Management of Obstructive Sleep Apnea

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Abstract

Obstructive sleep apnea (OSA) is a common disorder caused by repetitive collapse of the upper airway during sleep. Continuous positive airway pressure (CPAP) is the gold standard treatment for OSA but suboptimal adherence and poor tolerance to CPAP limits treatment effectiveness. It is not uncommon for patients to seek an alternate treatment for management of OSA. Given the chronic nature of the condition, its detrimental effects on sleep quality, quality of life, executive functioning, and the long-term metabolic and cardiovascular sequela of untreated moderate-to-severe OSA, alternatives to CPAP may be necessary for these patients who are unable or unwilling to use CPAP. Often these alternatives may reduce the burden of sleep-disordered breathing with a treatment strategy that is acceptable to, and tolerated by the patient. This chapter highlights several alternatives to CPAP for management of OSA. Therapies reviewed include medical and surgical weight loss, positional therapy, nasal expiratory positive airway pressure, oral pressure therapy, and hypoglossal nerve stimulation. For oral appliance therapy and surgical interventions, please refer to separate chapters in this textbook.

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Author information

Authors and Affiliations

  1. Clinical Instructor in Neurology, The University of Michigan, Ann Arbor, MI, USA

    Abbey Dunn

  2. Department of Neurology, Michigan Medicine Sleep Disorders Laboratories, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA

    Neeraj Kaplish

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  1. Abbey Dunn
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  2. Neeraj Kaplish
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Correspondence to Abbey Dunn .

Editor information

Editors and Affiliations

  1. Orthodontics, Saint Louis University Orthodontics, Saint Louis, MO, USA

    Ki Beom Kim

  2. Orthodontics, Saint Louis University Orthodontics, Saint Louis, MO, USA

    Reza Movahed

  3. Washington University in St. Louis School of Medicine, Saint Louis, MO, USA

    Raman K. Malhotra

  4. Otolaryngology-Head and Neck Surgery, University of Michigan–Ann Arbor, Ann Arbor, MI, USA

    Jeffrey J. Stanley

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Dunn, A., Kaplish, N. (2021). Other Therapies and Emerging Options for Management of OSA. In: Kim, K.B., Movahed, R., Malhotra, R.K., Stanley, J.J. (eds) Management of Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-030-54146-0_14

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  • DOI: https://doi.org/10.1007/978-3-030-54146-0_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54145-3

  • Online ISBN: 978-3-030-54146-0

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