Beyond CPAP: modifying upper airway output for the treatment of OSA.
control of breathing
genioglossus
hypoglossal nerve
positive airway pressure
precision medicine
sleep disordered breathing
Journal
Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899
Informations de publication
Date de publication:
2023
2023
Historique:
received:
07
04
2023
accepted:
12
06
2023
medline:
7
8
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 37545734
doi: 10.3389/fneur.2023.1202271
pmc: PMC10403235
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1202271Informations de copyright
Copyright © 2023 Gruenberg, Cooper, Zamora, Stepnowsky, Vahabzadeh-Hagh, Malhotra and Nokes.
Déclaration de conflit d'intérêts
AM was funded by the NIH. He reports income from Merck and Livanova related to medical education. He is the Global PI for Osprey and receives income from Livanova for this role. ResMed provided philanthropic support for UC San Diego. He has no personal income from Signifier. BN is the Medical Director for Hypoglossal Nerve Stimulation at VA San Diego, but receives no industry funding or additional clinical funding for this role. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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