Wasey Waiz, Wasey Neha, Saleh Sharefi, Aziz Imad
Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, USA.
General Practice, Shadan Institute of Medical Sciences, Hyderabad, IND.
Cureus. 2021 Aug 6;13(8):e16937. doi: 10.7759/cureus.16937. eCollection 2021 Aug.
Obstructive sleep apnea (OSA) is a breathing disorder during sleep secondary to collapsing upper airways that leads to a significant decrease or a complete cessation of airflow despite an effort to breathe. As the name suggests, an obstruction, likely caused by an inherited narrow airway, is the most common cause. But there are less known factors that may contribute to the worsening of OSA. We present a case of very severe OSA contributed by weight gain, opioid use, and anterior cervical discectomy and fusion (ACDF), in addition to a genetically narrow airway. This case highlights the importance of battling OSA on many different fronts. Our patient eventually was able to stop positive airway pressure (PAP) therapy, once the contributing factors were addressed appropriately.
阻塞性睡眠呼吸暂停（OSA）是一种睡眠期间的呼吸障碍，继发于上呼吸道塌陷，尽管有呼吸努力，但仍导致气流显著减少或完全停止。顾名思义，阻塞是最常见的原因，可能由遗传性气道狭窄引起。但还有一些鲜为人知的因素可能导致OSA病情恶化。我们报告一例非常严重的OSA病例，除了遗传性气道狭窄外，体重增加、使用阿片类药物以及颈椎前路椎间盘切除融合术（ACDF）也促使了病情发展。该病例突出了在多个不同方面对抗OSA的重要性。一旦适当解决了促成因素，我们的患者最终能够停止气道正压通气（PAP）治疗。
