Obstructive sleep apnea : causes, treatment and health implications / / Lisandro M. Sacchetti and Priscilla Mangiardi, editors

• Record Nr.: UNINA9910809625603321
• Pubbl/distr/stampa: New York, : Nova Science Publishers, c2012
• ISBN: 1-61209-198-9
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (226 p.)
• Collana: Otolaryngology research advances
• Altri autori (Persone): SacchettiLisandro M.; MangiardiPriscilla
• Disciplina: 616.209
• Soggetti: Sleep apnea syndromes - Pathophysiology; Sleep apnea syndromes - Treatment
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- OBSTRUCTIVE SLEEP APNEA CAUSES, TREATMENT AND HEALTH IMPLICATIONS -- OBSTRUCTIVE SLEEP APNEA CAUSES, TREATMENT AND HEALTH IMPLICATIONS -- CONTENTS -- PREFACE -- Chapter 1 RISK FACTORS AND INTERVENTIONS FOR NONADHERENCE TO CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) -- ABSTRACT -- INTRODUCTION -- Measuring CPAP Adherence -- Predicting CPAP Adherence -- Barriers of CPAP Adherence -- Clinical Assessment of Adherence -- Demographic Predictors of Adherence -- Psychological Models Applied to CPAP Adherence -- Personality Correlates of Adherence -- Improving CPAP Adherence with Intervention -- CONCLUSION -- FUTURE DIRECTIONS -- REFERENCES -- Chapter 2 APPROACH TO THE SNORING PATIENT -- ABSTRACT -- INTRODUCTION -- HISTORY -- PREVALENCE -- DIAGNOSIS -- Etiology -- Clinical History -- Objective Measurements of Snoring -- Physical Exam -- Nasal and Nasopharyngeal Examination -- Pharyngeal Examination -- Hypopharyngeal Examination -- Testing -- TREATMENT -- BEHAVIORAL MODIFICATION -- NON-INVASIVE OPTIONS -- Nasal Airway Obstruction -- Palatal and Hypopharyngeal Obstruction -- Retrolingual Obstruction -- Positive Airway Pressure -- CPAP -- EPAP -- Oral Appliances -- SURGICAL OPTIONS -- SURGERY FOR NASAL AIRWAY OBSTRUCTION -- Caveat -- Nasal Valve Repair -- Turbinate Reduction -- Other Surgical Techniques -- SURGERY FOR CORRECTION ; OF PALATAL AND HYPOPHARYNGEAL OBSTRUCTION -- Minimally Invasive -- Palatal Implants -- Injection Snoreplasty -- Laser Assisted Uvula Palatoplasty (LAUP) -- Palatal Radiofrequency Ablation (PRFA) -- Cautery-Assisted Palatal Stiffening (CAPSO) -- Invasive -- Uvulopalatopharyngoplasty and Z-Palatoplasty -- SURGERY FOR RETROLINGUAL OBSTRUCTION -- Invasive -- Radiofrequency Ablation of Base of Tongue (RFBOT) -- Tonsillectomy -- Partial Uvulectomy -- Tongue Suspension -- OTHER SURGICAL TECHNIQUES -- Bariatric Surgery.; CONCLUSION -- REFERENCES -- Chapter 3 BENEFITS OF CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY FOR OBSTRUCTIVE SLEEP APNOEA PATIENTS (OSAS): COMPLIANCE AND TECHNOLOGICAL PROGRESS DEVICES -- ABSTRACT -- Introduction -- Conclusion -- EDUCATIONAL AIMS -- IMPACT OF CONTINUOUS POSITIVE AIRWAY PRESSURE ON CARDIOVASCULAR METABOLIC AND RESPIRATORY EFFECTS -- Mortality -- Various -- EFFECTS ON DRIVING ABILITY -- ADHERENCE AND COMPLIANCE -- EFFECT OF FIXED VERSUS AUTO ADJUSTING CPAP TREATMENTS -- USE OF A-PAP TO DIAGNOSE AND TREATMENT IN PATIENTS WITH OSAS -- C-FLEX AND A-FLEX -- CPAP FUTURE -- EXPERT COMMENTARY -- REFERENCES -- Chapter 4 IS PRIMARY SNORING A BENIGN ISOLATED SYMPTOM? -- ABSTRACT -- HISTORICAL ASPECTS -- CO-MORBIDITY AND PRIMARY SNORING -- ANATOMICAL AND PATHOPHYSIOLOGICAL ASPECTS -- SNORING AND ITS RELATIONSHIP WITH SLEEP PHYSIOLOGY -- NASAL OBSTRUCTION AND PRIMARY SNORING -- PHARYNGEAL AND NASOPHARYNGEAL FACTORS AND PRIMARY SNORING -- PRIMARY SNORING AND SUBSTANCE CONSUMPTION -- MOOD, ANXIETY AND DEPRESSION -- COGNITION AND SNORING -- DIURNAL SYMPTOMS -- NOCTURNAL SYMPTOMS, SLEEP ARCHITECTURE AND SNORING -- REFERENCES -- Chapter 5 ASSESSMENT AND MANAGEMENT OF OBSTRUCTIVE SLEEP APNEA: THE OTOLARYNGOLOGY PERSPECTIVE -- ABSTRACT -- INTRODUCTION -- CAUSES OF OBSTRUCTIVE SLEEP APNEA -- HEALTH IMPLICATIONS OF OBSTRUCTIVE SLEEP APNEA -- TREATMENT -- REFERENCES -- Chapter 6 MECHANISMS UNDERLYING ENDOTHELIAL DYSFUNCTION IN OBSTRUCTIVE SLEEP APNEA SYNDROME (OSAS) PATIENTS -- ABSTRACT -- INTRODUCTION -- ENDOTHELIAL DYSFUNCTION -- ROLE OF OXIDATIVE STRESS AND SYSTEMIC INFLAMMATION IN ENDOTHELIAL DYSFUNCTION -- TRIGGERS OF SYMPATHETIC ACTIVATION -- CONCLUSION -- ACKNOWLEDGMENTS -- REFERENCES -- Chapter 7 OBSTRUCTIVE SLEEP APNEA-HYPOPNEA SYNDROME -- ABSTRACT -- 1. INTRODUCTION -- 2. HISTORICAL REVIEW.; 3. SLEEP-DISORDERED BREATHING AS A SPECTRUM OF BREATHING DISORDERS DURING SLEEP -- 4. DEFINITIONS OF THE FORMS OF SLEEP-DISORDERED BREATHING -- 4.1. Snoring -- 4.2. Obstructive Sleep Apnea / Hypopnea Syndrome -OSAHS -- 4.3. Upper Airway Resistance Syndrome-UARS -- 5. EPIDEMIOLOGY OF SLEEP-DISORDERED BREATHING -- 5.1. Prevalence of Habitual Snoring and Obstructive Sleep Apnea/Hypopnea Syndrome -- 5.2. Prevalence of Upper Airway Resistance Syndrome -- 6. THE INCIDENCE AND PROGRESSION OF SLEEP DISORDERED BREATHING -- 7. PREDISPOSING RISK FACTORS FOR SLEEP-DISORDERED BREATHING -- 7.1. Gender -- 7.2. Obesity -- 7.3. Age -- 7.4. Genetics / Ethnicity -- 8. PATHOGENESIS OF SLEEP DISORDERED BREATHING -- 9. CLINICAL PRESENTATIONS -- 9.1. Nocturnal Features -- 9.2. Daytime Symptoms -- 10. CONSEQUENCES AND ASSOCIATIONS OF OSAHS WITH OTHER CONDITIONS -- 10.1. OSAHS as a Risk Factor for Hypertension -- 10.2. Other Cardiovascular Diseases -- 10.3. Cerebrovascular Diseases -- 11. MORTALITY -- 12. DIAGNOSIS OF SLEEP-DISORDERED BREATHING -- 12.1. History -- ; 12.2. The Physical Examination -- 12.3. Objective Techniques For Diagnosis -- 13. TREATMENTS -- 13.1. Behavioural or Lifestyle Modifications -- 13.2. CPAP/BIPAP Treatment -- 13.3. Oral Appliances -- 13.4. Surgery -- 13.5. Medications -- CONCLUSION -- REFERENCES -- Chapter 8 INTRAORAL DEVICES FOR THE MANAGEMENT OF OBSTRUCTIVE SLEEP APNEA-HYPOPNEA -- ABSTRACT -- INTRODUCTION -- GENERAL CONSIDERATIONS ON INTRAORAL DEVICES -- TONGUE RETAINING DEVICES -- MANDIBULAR REPOSITIONING APPLIANCES -- LITERATURE REVIEW ON EFFECTIVENESS AND COST-TO-BENEFIT RATIO -- CONCLUSION -- REFERENCES -- INDEX.