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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...

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Autores principales: Gruenberg, Eli, Cooper, Jessica, Zamora, Tania, Stepnowsky, Carl, Vahabzadeh-Hagh, Andrew M., Malhotra, Atul, Nokes, Brandon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
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.
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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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