LEADER 07846nam 2200613Ia 450 001 9910956819503321 005 20251116181639.0 010 $a1-61209-198-9 035 $a(CKB)2550000001041824 035 $a(EBL)3019176 035 $a(SSID)ssj0000943231 035 $a(PQKBManifestationID)11521537 035 $a(PQKBTitleCode)TC0000943231 035 $a(PQKBWorkID)10975156 035 $a(PQKB)11542511 035 $a(MiAaPQ)EBC3019176 035 $a(Au-PeEL)EBL3019176 035 $a(CaPaEBR)ebr10662983 035 $a(OCoLC)829233114 035 $a(BIP)37442990 035 $a(EXLCZ)992550000001041824 100 $a20111102d2012 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aObstructive sleep apnea $ecauses, treatment and health implications /$fLisandro M. Sacchetti and Priscilla Mangiardi, editors 205 $a1st ed. 210 $aNew York $cNova Science Publishers$dc2012 215 $a1 online resource (226 p.) 225 0 $aOtolaryngology research advances 300 $aDescription based upon print version of record. 311 08$a1-61942-676-5 320 $aIncludes bibliographical references and index. 327 $aIntro -- 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. 327 $aCONCLUSION -- 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. 327 $a3. 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. 330 $aObstructive sleep apnea (OSA) is an often under-diagnosed disorder, characterised by periods of apnea and/or hypopnea that occurs during sleep. Emerging evidence shows that it is strongly associated with cardiovascular disease. In this book, the authors present current research in the study of the causes, treatment and health implications of OSA. Topics include the risk factors and interventions for non-adherence to CPAP; the benefits of CPAP therapy; a discussion on whether primary snoring is a benign symptom of OSA; mechanisms underlying endothelial dysfunction in OSA; and the efficacy of intraoral devices for OSA. 410 0$aOtolaryngology Research Advances 606 $aSleep apnea syndromes$xPathophysiology 606 $aSleep apnea syndromes$xTreatment 615 0$aSleep apnea syndromes$xPathophysiology. 615 0$aSleep apnea syndromes$xTreatment. 676 $a616.209 701 $aSacchetti$b Lisandro M. $01865426 701 $aMangiardi$b Priscilla$01865427 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910956819503321 996 $aObstructive sleep apnea$94472495 997 $aUNINA