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Beyond CPAP: modifying upper airway output for the treatment of OSA
Obstructive Sleep Apnea (OSA) is exceedingly common but often under-treated. Continuous positive airway pressure (CPAP) has long been considered the gold standard of OSA therapy. Limitations to CPAP therapy include adherence and availability. The 2021 global CPAP shortage highlighted the need to tai...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403235/ https://www.ncbi.nlm.nih.gov/pubmed/37545734 http://dx.doi.org/10.3389/fneur.2023.1202271 |
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author | Gruenberg, Eli Cooper, Jessica Zamora, Tania Stepnowsky, Carl Vahabzadeh-Hagh, Andrew M. Malhotra, Atul Nokes, Brandon |
author_facet | Gruenberg, Eli Cooper, Jessica Zamora, Tania Stepnowsky, Carl Vahabzadeh-Hagh, Andrew M. Malhotra, Atul Nokes, Brandon |
author_sort | Gruenberg, Eli |
collection | PubMed |
description | Obstructive Sleep Apnea (OSA) is exceedingly common but often under-treated. Continuous positive airway pressure (CPAP) has long been considered the gold standard of OSA therapy. Limitations to CPAP therapy include adherence and availability. The 2021 global CPAP shortage highlighted the need to tailor patient treatments beyond CPAP alone. Common CPAP alternative approaches include positional therapy, mandibular advancement devices, and upper airway surgery. Upper airway training consists of a variety of therapies, including exercise regimens, external neuromuscular electrical stimulation, and woodwind instruments. More invasive approaches include hypoglossal nerve stimulation devices. This review will focus on the approaches for modifying upper airway muscle behavior as a therapeutic modality in OSA. |
format | Online Article Text |
id | pubmed-10403235 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104032352023-08-05 Beyond CPAP: modifying upper airway output for the treatment of OSA Gruenberg, Eli Cooper, Jessica Zamora, Tania Stepnowsky, Carl Vahabzadeh-Hagh, Andrew M. Malhotra, Atul Nokes, Brandon Front Neurol Neurology Obstructive Sleep Apnea (OSA) is exceedingly common but often under-treated. Continuous positive airway pressure (CPAP) has long been considered the gold standard of OSA therapy. Limitations to CPAP therapy include adherence and availability. The 2021 global CPAP shortage highlighted the need to tailor patient treatments beyond CPAP alone. Common CPAP alternative approaches include positional therapy, mandibular advancement devices, and upper airway surgery. Upper airway training consists of a variety of therapies, including exercise regimens, external neuromuscular electrical stimulation, and woodwind instruments. More invasive approaches include hypoglossal nerve stimulation devices. This review will focus on the approaches for modifying upper airway muscle behavior as a therapeutic modality in OSA. Frontiers Media S.A. 2023-07-21 /pmc/articles/PMC10403235/ /pubmed/37545734 http://dx.doi.org/10.3389/fneur.2023.1202271 Text en Copyright © 2023 Gruenberg, Cooper, Zamora, Stepnowsky, Vahabzadeh-Hagh, Malhotra and Nokes. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Gruenberg, Eli Cooper, Jessica Zamora, Tania Stepnowsky, Carl Vahabzadeh-Hagh, Andrew M. Malhotra, Atul Nokes, Brandon Beyond CPAP: modifying upper airway output for the treatment of OSA |
title | Beyond CPAP: modifying upper airway output for the treatment of OSA |
title_full | Beyond CPAP: modifying upper airway output for the treatment of OSA |
title_fullStr | Beyond CPAP: modifying upper airway output for the treatment of OSA |
title_full_unstemmed | Beyond CPAP: modifying upper airway output for the treatment of OSA |
title_short | Beyond CPAP: modifying upper airway output for the treatment of OSA |
title_sort | beyond cpap: modifying upper airway output for the treatment of osa |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403235/ https://www.ncbi.nlm.nih.gov/pubmed/37545734 http://dx.doi.org/10.3389/fneur.2023.1202271 |
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