The Ultimate Guide to Inspire Therapy for Apnea
The Ultimate Guide to Inspire Therapy for Apnea
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The effect of nasal surgery on continuous positive airway pressure device use and therapeutic treatment pressures: a systematic review and meta-analysis.
Results showed that sleep apnea patients receiving Inspire implant experienced significant reductions in sleep apnea events and significant improvements in quality of life measures.
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There are currently approximately 5.9 million OSA diagnoses among U.S. adults, according to the American Academy of Sleep Medicine. In those with the disorder, neck and throat muscles relax during sleep, causing the soft tissue at the back of the throat to collapse and block air from reaching the airway.
A large body of literature, including higher level evidence in the form of meta-analyses and randomized controlled trials, describes the benefits of CPAP in terms of both symptomatic improvement and long term outcomes (15). By preventing airway collapse and vibration, CPAP eliminates snoring and improves sleep quality for the partner along with nocturnal symptoms such as choking, awakenings and nocturia. Furthermore, daytime somnolence is improved both subjectively and objectively with a resultant improvement in concentration.
g., adenoids). These can be corrected with surgical intervention. Pathophysiological conditions are common and include allergic or vasomotor rhinitis, for which patients require appropriate education and counselling, skin prick allergy testing, allergen avoidance advice and treatment with antihistamines and intranasal steroids (20). CPAP rhinitis is due to inflammatory changes in the nasal mucosa as a result of the persistent high air pressures—this also requires similar treatment with saline douching and intranasal steroids (21). Pathological processes such as sinusitis and nasal polyposis are often problematic and can be missed during routine respiratory review as they are better evaluated with rigid and flexible endoscopes in otolaryngology outpatients. This can be treated effectively, either medically, or surgically, in the form of endoscopic sinus surgery (22,23). Correction of these factors can lead to an improvement in CPAP compliance via a reduction in pressure requirements but rarely, alone, can it lead to resolution of OSA (24).
If HNS is not a therapy, is there an interest in going forward with anatomic surgery? Discussion of DISE and its rationale and cost benefit besides that of the office examination?
Use Heat to Reduce Bloating and Pain: A heating pad or warm bath may encourage trapped air to move through your body so that it can be released.
The primary aims of surgery are to either bypass upper airway obstruction or to increase the upper airway dimensions. By addressing anatomical obstructions or areas of collapse in these OSA patients, CPAP requirements may be reduced and therefore improve patient compliance, although the observational studies outlined above do not necessarily support this theory. The key however remains appropriate patient selection and DISE is invaluable in this regard. Patients with a high BMI tend to do less well and may be better served, in the first instance, by weight loss measures, either with lifestyle, medical or surgical interventions. Patient counselling should highlight that multilevel obstruction is the norm and that CPAP remains the gold standard treatment.
For some people, it may take additional time to adjust. David Levey, for instance, estimates that he spent two to three months to feel fully comfortable with his CPAP—and to switch from a side sleeping position to a back position to keep his device from slipping out of place.
Use a Heated Humidifier: A heated humidifier is a tried-and-true method to direct moisture to your airway and can help you get relief from congestion.
Oral appliances: Oral appliances are dental devices that improve sleep disordered breathing by maintaining the patency of the posterior pharynx. These devices are typically fit by a dentist and maintain pharyngeal patency by advancing the mandible forward and or by maintaining the tongue in an anterior position.
Keep Your Mask Clean: It is get more info possible that oils from your face, moisturizer, or make-up are compromising your mask seal. Be sure to thoroughly clean your mask in the morning.
Check Your Mask Fit: It’s also possible that your mask fit or style isn’t right. Start by checking your straps to ensure they are not too tight.