Philadelphia, PA: Elsevier 2022:chap 120. Murray and Nadel's Textbook of Respiratory Medicine. In: Broaddus VC, Ernst JD, King TE, Lazarus SC, Sarmiento KF, Schnapp LM, Stapleton RD. Philadelphia, PA: Elsevier 2022:chap 131. Principles and Practice of Sleep Medicine. In: Kryger M, Roth T, Goldstein CA, Dement WC, eds. Obstructive sleep apnea: clinical features, evaluation, and principles of management. Greenberg H, Scharf MT, West S, Rajan P, Scharf SM. ![]() Surgery may not completely cure obstructive sleep apnea and may have long-term side effects. Implant a pacemaker-like device that stimulates the muscles of the throat to stay open during sleep.Create an opening in the windpipe to bypass the blocked airway if there are physical problems.Correct problems with the structures in the face.Remove extra tissue at the back of the throat.It is often a last resort if other treatments did not work and you have severe symptoms. Surgery may be an option for some people. It is best to talk with a doctor who specializes in sleep problems before trying them. ![]() ![]() Other treatments may be available, but there is less evidence that they work. You wear them in your mouth while you sleep to keep your jaw forward and the airway open. Good follow-up and support from a sleep center can help you overcome any problems using CPAP.ĭental devices may help some people. It can take some time to get used to sleeping with CPAP therapy. The machine pumps air under pressure through the hose and mask and into your airway while you sleep.The mask is connected by a hose to a small machine that sits at the side of your bed.You wear a mask over your nose or over your nose and mouth while you sleep.They can make symptoms worse.Ĭontinuous positive airway pressure ( CPAP) devices work best to treat obstructive sleep apnea in most people. Avoid alcohol or medicines that make you sleepy before bedtime.Lifestyle changes may help relieve symptoms in people with mild sleep apnea, such as: Treatment helps keep your airway open while you sleep so your breathing does not stop. Hyperactive behavior, especially in children.Feel sleepy while driving, or even fall asleep while driving.Fall asleep while working, reading, or watching TV.Feel sleepy or drowsy throughout the day.Sometimes, people with OSA wake up gasping for air. Snoring can be loud enough to hear through walls. Usually, a sleep partner or other family members hear the loud snoring, gasping, and snorting. Most people with OSA do not know their breathing starts and stops during the night. This pattern repeats throughout the night.The silence is followed by a loud snort and gasp, as you attempt to breathe.Snoring is interrupted by a long silent period while your breathing stops.If you have OSA, you usually begin snoring heavily soon after falling asleep. It occurs when the brain temporarily stops sending signals to the muscles that control breathing. Sleeping on your back can also cause your airway to become blocked or narrowed.Ĭentral sleep apnea is another sleep disorder during which breathing can stop. Large tonsils and adenoids that can block the airway. ![]()
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