• AORN journal · Sep 2005

    Review

    Surgical treatment of obstructive sleep apnea.

    • Wayne Colin and Susan Duval.
    • Lexington Clinic, KY, USA.
    • AORN J. 2005 Sep 1; 82 (3): 372-4, 377-8, 380 passim; quiz 393-6.

    AbstractTHE PRIMARY TREATMENT for obstructive sleep apnea (OSA) has been continuous positive airway pressure (CPAP) therapy, but the minimum acceptable number of hours of nightly CPAP use remains unclear. INTEGRATED SOFT TISSUE and bone surgery may be a viable alternative for patients who have rejected CPAP as a treatment option. Formal sleep testing has shown that surgery and CPAP therapy are equally successful at resolving OSA. REPEAT SLEEP TESTING conducted several years after patients have undergone combined soft tissue and bone surgery has demonstrated consistent and reliable surgical results. Patients with OSA should be offered surgery as an alternative to life-long CPAP treatment or as an option when CPAP therapy has not been successful.

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