How is obstructive sleep apnea treated?
A multidisciplinary approach is necessary. An ENT surgeon, pulmonologist, orthodontist, and dietician usually decides the most appropriate approach for a patient based on the examination and polysomnography data.
Losing weight, quitting smoking, decreasing alcohol consumption, and exercising are very beneficial in the treatment of obstructive apnea, as in snoring treatment.
If the disease occurs only in certain sleep positions according to sleep test results, treatment approaches that adjust the sleeping position can be tried.
If the disease is mild or moderate, beneficial results can be obtained in appropriate patients from oral appliances that advance the lower jaw. In the same patient group, surgeries may offer a cure in the selected patients.
If the disease is severe, continuous positive airway pressure(CPAP) mask treatment, which prevents airway collapse by providing continuous positive pressure, is the standard treatment. But still, a pharyngoplasty may offer significant gains in disease severity and daytime symptoms.
Even if the patient prefers CPAP or surgery is not appropriate, nasal surgeries will be beneficial if there is a deviation or narrowing in the nasal passage to reduce the required pressure for the mask.
Losing weight, quitting smoking, decreasing alcohol consumption, and exercising can help the treatment of obstructive sleep apnea. Sleep positioners and oral appliances can be preferred in selected patients. Pharyngoplasty and/or septoplasty can treat the disease or increase the effectiveness of the CPAP treatment.