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Drugs and Devices
February 18, 2013

Alternative devices for obstructive sleep apnea

February 2013 issue
3 (1) 67-70

Summary

Obstructive sleep apnea (OSA) is a relatively common condition which is most often treated with continuous positive airway pressure (CPAP). Given the compliance issues associated with CPAP, it is important for neurologists (and anyone who treats OSA) to be aware of what other treatment devices exist for this disease. This article reviews mandibular advancement devices, nasal expiratory airway pressure devices, hypoglossal nerve stimulators, and oral pressure therapy devices in terms of their mechanism of action, efficacy, and practicality.

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REFERENCES

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Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. Proc Am Thorac Soc 2008;5:173.
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Friedman M, Hamilton C, Samuelson CG, et al. Compliance and efficacy of titratable thermoplastic versus custom mandibular advancement devices. Otolaryngol Head Neck Surg 2012;147:379–386.
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Marklund M, Verbraecken J, Randerath W. Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy. Eur Respir J 2012;39:1241–1247.
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Randerath WJ, Verbraecken J, Andreas S, et al. Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J 2011;37:1000–1028.
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Walsh JK, Griffin KS, Forst EH, et al. A convenient expiratory positive airway pressure nasal device for the treatment of sleep apnea in patients non-adherent with continuous positive airway pressure. Sleep Med 2011;12:147–152.
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Kryger MH, Berry RB, Massie CA. Long-term use of a nasal expiratory positive airway pressure (EPAP) device as a treatment for obstructive sleep apnea (OSA). J Clin Sleep Med 2011;7:449–453B.
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Berry RB, Kryger MH, Massie CA. A novel nasal expiratory positive airway pressure (EPAP) device for the treatment of obstructive sleep apnea: a randomized controlled trial. Sleep 2011;34:479–485.
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Eastwood PR, Barnes M, Walsh JH, et al. Treating obstructive sleep apnea with hypoglossal nerve stimulation. Sleep 2011;34:1479–1486.
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Van de Heyning PH, Badr MS, Baskin JZ, et al. Implanted upper airway stimulation device for obstructive sleep apnea. Laryngoscope 2012;122:1626–1633.
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Schwab R, Kim C, Siegel LC, et al. Mechanism of action of a novel device using oral pressure therapy (OPT) for the treatment of OSA. Am J Respir Crit Care Med 2012;185:A6811.
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Information & Authors

Information

Published In

Neurology® Clinical Practice
Volume 3Number 1February 2013
Pages: 67-70

Publication History

Published in print: February 2013
Published online: February 18, 2013

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Disclosures

The author reports no disclosures relevant to the manuscript. Go to Neurology.org/cp for full disclosures.

Authors

Affiliations & Disclosures

Daniel A. Barone, MD
Weill Cornell Center for Sleep Medicine, New York, NY.
Disclosure
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Notes

Correspondence to: [email protected]

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