[Differential therapeutic aspects in treatment of obstructive sleep apnea syndrome].
We report the case of a 43-year-old man who suffered from obstructive sleep apnea with excessive daytime sleepiness and nocturnal sweating. His initial apnea index of 60/h improved under treatment with an Esmarch device. Apneas were totally suppressed by nCPAP application with a pressure of only 4 mb, but the patient rejected nCPAP therapy. After two years with the Esmarch device he reported increasing temporomandibular joint pain and Esmarch therapy had to be stopped. A cephalometric evaluation showed good prognosis for maxillomandibular advancement osteotomy, which was performed and which suppressed the apneas completely over a period of more than one year. Indication, surgical technique, and risks are discussed.
Mayer
G
G
Hephata Klinik Schwalmstadt-Treysa.
Hochban
W
W
Meier-Ewert
K
K
D000328:Adult; D002508:Cephalometry; D002940:Circadian Rhythm / Q000502:physiology; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D010027:Osteotomy; D010342:Patient Acceptance of Health Care; D017286:Polysomnography; D011175:Positive-Pressure Respiration; D012891:Sleep Apnea Syndromes / Q000503:physiopathology / Q000628:therapy*; D013546:Sweating / Q000502:physiology; D014851:Wakefulness / Q000502:physiology
Differentialtherapeutische Aspekte zur Behandlung des obstruktiven Schlafapnoesyndroms.