Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine/NewYork-Presbyterian Hospital, 1300 York Avenue, New York, NY 10065, USA.
Departments of Medicine, Neurology and Genetic Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, 1300 York Avenue, New York, NY 10065, USA.
Clin Geriatr Med. 2021 Aug;37(3):429-444. doi: 10.1016/j.cger.2021.04.005. Epub 2021 Jun 5.
Undiagnosed and untreated obstructive sleep apnea (OSA) is associated with health comorbidities and negatively affects quality of life. Alternative treatments should be considered in patients who are unable to tolerate or benefit from positive airway pressure treatment. When properly indicated, positional devices, oral appliances, airway surgery, and hypoglossal nerve stimulation have been shown to be effective in treating OSA. Hypoglossal nerve stimulation is a successful second-line treatment with low associated morbidity and complication rate.
未经诊断和未治疗的阻塞性睡眠呼吸暂停(OSA)与健康合并症相关,并对生活质量产生负面影响。对于不能耐受或受益于气道正压治疗的患者,应考虑替代治疗。当指征明确时,体位装置、口腔器械、气道手术和舌下神经刺激已被证明对 OSA 有效。舌下神经刺激是一种成功的二线治疗方法,相关发病率和并发症发生率低。