Abstract
This book aims to bring the reader to the revelation that body position is important in the aetiology of sleep-disordered breathing. This aspect of its aetiology has been neglected and overlooked for too long. Positional-dependent obstructive sleep apnea (OSA) can be treated effectively with new forms of positional therapy. I hope the reader will recognize that there is much room for improvement in diagnosis and treatment of OSA. This book will provide the reader with the tools to implement positional therapy in clinical practice. I hope it will serve as motivation for fantastic presentations and inspiring manuscripts on well-conducted research.
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Notes
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This list includes: the value of different types of sleep studies, imaging, computerized fluid dynamics, evaluation of pharyngeal shape and size using anatomical coherence tomography, Pcrit measurements, ventilatory response-to-disturbance ratio (loop gain), ability of the upper airway to stiffen/dilate in response to an increase in ventilatory drive, arousal threshold, general examination and specific assessment of the upper airway—including drug-induced sleep endoscopy—health consequences and health economics of untreated OSA, cost-effectiveness of treatment, treatment with continuous positive airway pressure (CPAP), AutoPAP, BIPAP, compliance of CPAP, oral devices, anatomy, neuromuscular drive, obstructive vs. mixed and central OSA, OSA and obesity and vice versa, bariatric surgery, OSA and driving, OSA and general anaesthesia, various forms of palatal and base of tongue surgery, multimodality treatment, multilevel surgery, bimaxillary osteotomies, experimental procedures such as implants (Apneon, Aspire, Pillars, Pavad, ReVent), transoral robotic surgery, transcervical approaches, stimulation of the hypoglossal nerve (upper airway stimulation, neuromodulation) and so on and so forth.
Acknowledgements
I am indebted to many people. This book was possible without the support of my young, extremely smart and enthusiastic team: my residents, former residents, national and international fellows and the great sleep laboratory of the Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.
In particular I want to thank my co-editors Madeline Ravesloot, Peter van Maanen, but also Linda Benoist, Faiza Safiruddin, Sharon Morong, Marjolein van Looij, Eline van Beest, Arjan van der Star, Yiannis Koutsourelakis, Martin Laman, Ton Hilgevoord, Vincent van Ammers, Ellen van Kesteren, Ellen Beekman and Hans Moinat. I thank my partners Peter van Rijn and Joep Tan for allowing me to do what I like most. It’s a privilege to work with you all.
Nico de Vries
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© 2015 Springer International Publishing Switzerland
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de Vries, N. (2015). Introduction. In: de Vries, N., Ravesloot, M., van Maanen, J. (eds) Positional Therapy in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-09626-1_1
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