Obstructive Sleep Apnea (OSA) is a very common sleep disorder with major clinical and social consequences, often neglected, under diagnosed and under treated.
OSA Questions to ask a bed partner or tape record:
- Is there snoring, loudly or quietly, frequently or infrequently, and lying on the back or side?
- Is there excessive daytime sleepiness?
- Are there episodes during sleep when breathing stops?
- Is there “dry” mouth upon waking?
- Is there excessive urination at night?
- Is there hypertension?
*80 to 90% of patients with OSA are undiagnosed
*When patients are diagnosed with OSA they have, on average, had OSA for 7 years, having seen a family practice physician 17 times, & a specialist 9 times.
*The gold standard for accurate diagnosis of OSA is a polysomnography exam.
Clinical Findings related to OSA:
Treatment of OSA:
- Cardiovascular diseases
- Renal damage (Chronic renal failure)
- Cognitive dysfunction (memory loss or Dementia)
- Impotence and over active bladder and nocturia
- Depression, Anxiety, Fatigue
*Oral devices (oral appliance therapy while sleeping) keep mandible & tongue forward
- Weight Loss
- Continuous Positive Airway Pressure (CPAP) during sleep
- Position Therapy (avoiding the spine position) when sleeping
*Surgical or laser excision or uvolopalatopharyngoplasty, or part of the soft palate above the tongue
*Surgical relief of nasal obstruction, tonsillectomy, adenoidectomy, mandibular-maxillary surgery and somnoplasty.
Most insurance covers OSA management