Obstructive Sleep Apnea Syndrome

Obstructive Sleep Apnea Syndrome: Or something else? Differential Diagnosis

Psyche – Nervous System (F00-F99; G00-G99). Bruxism (teeth grinding) – unconscious, usually nocturnal but also daytime, repetitive masticatory muscle activity characterized by grinding or clenching of the teeth or Tension or clenching of the jaws occurs; typical consequences are morning muscular pain, hypertrophy of the masseter muscle (masticatory muscle), abrasions (loss of tooth structure), wedge-shaped … Obstructive Sleep Apnea Syndrome: Or something else? Differential Diagnosis

Obstructive Sleep Apnea Syndrome: Complications

The following are the major diseases or complications that may be contributed to by obstructive sleep apnea syndrome (OSAS): Respiratory system (J00-J99) Pneumonia (inflammation of the lungs; due to nocturnal aspiration/intrusion of liquid or solid substances into the respiratory tract). Eyes and eye appendages (H00-H59). Glaucoma (especially normal-tension glaucoma). Thrombosis of the retinal veins (vena … Obstructive Sleep Apnea Syndrome: Complications

Obstructive Sleep Apnea Syndrome: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart [due topossible secondary diseases: see there]. Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen), etc. ENT examination – … Obstructive Sleep Apnea Syndrome: Examination

Obstructive Sleep Apnea Syndrome: Diagnostic Tests

Obligatory medical device diagnostics. Cardiorespiratory polygraphy (performed on an outpatient basis) – if nocturnal breathing disorder is suspected. Nocturnal oximetry (oxygen measurement), performed on an outpatient basis. Polysomnography (sleep laboratory; measurement of various body functions during sleep that provide information about sleep quality) – in which the following parameters are monitored: Encephalogram (EEG; recording the … Obstructive Sleep Apnea Syndrome: Diagnostic Tests

Obstructive Sleep Apnea Syndrome: Surgical Therapy

The following surgeries can be performed for obstructive sleep apnea syndrome: Interstitial radiofrequency therapy (RFT) of the turbinate, soft palate, palatine tonsils, and base of the tongue* . Soft palate implants* Laser assisted soft palate surgery* * Radiofrequency uvulopalatoplasty* * – gentle surgical method for permanent tightening of the soft palate and shortening of the … Obstructive Sleep Apnea Syndrome: Surgical Therapy

Obstructive Sleep Apnea Syndrome: Prevention

Prevention of obstructive sleep apnea syndrome (OSAS) requires attention to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Micronutrient therapy (risk group). Consumption of stimulants Alcohol (evening consumption) Sitting in front of the TV Sleeping in the supine position Being overweight (BMI ≥ 25; obesity) Medication Taking sleeping pills … Obstructive Sleep Apnea Syndrome: Prevention

Obstructive Sleep Apnea Syndrome: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate obstructive sleep apnea syndrome (OSAS): Pathognomonic (indicative of a disease) Loud and irregular snoring combined with pauses in breathing (≥ 10 sec), resulting in restless sleep Other seminal symptoms Daytime sleepiness (tendency to fall asleep during the day). Night startling from sleep Frequent falling asleep during the day … Obstructive Sleep Apnea Syndrome: Symptoms, Complaints, Signs

Obstructive Sleep Apnea Syndrome: Causes

Pathogenesis (disease development) Snoring in obstructive sleep apnea syndrome (OSAS) occurs when the upper airway closes during sleep due to muscle relaxation (= collapse of the oropharyngeal pharyngeal muscles). In addition to anatomic factors, non-anatomic factors also play a significant role in the development of OSAS. Non-anatomical factors include unstable respiratory control (“high loop gain”, … Obstructive Sleep Apnea Syndrome: Causes

Obstructive Sleep Apnea Syndrome: Therapy

General measures Positional therapy: sleeping preferably in the lateral position! (Essential component of non-positive pressure therapy for mild to moderate positional obstructive sleep apnea (OSA)). If necessary, supine position prevention (RLV) against snoring (eg, anti-snoring vest). Refrain from drinking alcohol in the evening! Generally limited alcohol consumption (men: max. 25 g alcohol per day; women: … Obstructive Sleep Apnea Syndrome: Therapy

Obstructive Sleep Apnea Syndrome: Medical History

Medical history (history of illness) represents an important component in the diagnosis of obstructive sleep apnea syndrome (OSAS). Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints) [extraneous anamnesis: partner]. Has your bed partner noticed loud and irregular snoring? Has your bed partner noticed breathing pauses during sleep on your end? Do you … Obstructive Sleep Apnea Syndrome: Medical History

Continuous Positive Airway Pressure

CPAP stands for “continuous positive airway pressure” and means that the affected person is ventilated at night with positive pressure via a breathing mask. Due to the continuous positive pressure with which the breathing air is supplied, the airways cannot close. The affected person therefore no longer snores or has breathing pauses. The procedure is … Continuous Positive Airway Pressure