In addition to weight loss, continuous positive airway pressure (CPAP) therapy is considered the gold-standard therapy for OSA.[1] CPAP therapy works by creating positive pressure in the airway, preventing it from closing during sleep. A mask is worn over the nose or nose and mouth, which is connected via a hose to a machine that provides continuous positive airflow, preventing the airway from closing while sleeping.[2] Although generally the most effective treatment, people often find CPAP therapy uncomfortable and difficult to adhere to.[3] Oral devices such as mandibular advancement devices (MADs) that alter the position of the jaw while sleeping to help keep the airway open are an alternative treatment for people with mild to moderate sleep apnea who are poor candidates for CPAP or failed to respond to CPAP.[4] The drawback to MADs is that they tend to be less effective than CPAP overall, with one 1 out of 3 patients showing no improvements in their condition.[5]
References
- ^Becker HF, Jerrentrup A, Ploch T, Grote L, Penzel T, Sullivan CE, Peter JHEffect of nasal continuous positive airway pressure treatment on blood pressure in patients with obstructive sleep apnea.Circulation.(2003-Jan-07)
- ^CPAP; Bethseda, MD: National Heart, Lung and Blood Institute, National Institutes of Health, USA(24 March 2022)
- ^Rotenberg BW, Murariu D, Pang KPTrends in CPAP adherence over twenty years of data collection: a flattened curve.J Otolaryngol Head Neck Surg.(2016-Aug-19)
- ^Marklund M, Verbraecken J, Randerath WNon-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy.Eur Respir J.(2012-May)
- ^Dieltjens M, Vanderveken OOral Appliances in Obstructive Sleep Apnea.Healthcare (Basel).(2019-Nov-08)