10.3
Obstructive Sleep Apnea
Oral and Maxillofacial Surgery Clinics of North America, “Oral and Maxillofacial Treatment of Obstructive Sleep Apnea,” Volume 7, Number 2, May 1995; W. B. Saunders Company, The Curtis Center, Independence Square, West Philadelphia, PA, 19106
“Medical Considerations in Surgery for Sleep Apnea”—David G. Davila, MD, pp. 205–219
Oral and Maxillofacial Surgery Clinics of North America, “Oral and Maxillofacial Treatment of Obstructive Sleep Apnea,” Volume 7, Number 2, May 1995; W. B. Saunders Company, The Curtis Center, Independence Square, West Philadelphia, PA, 19106
“Continuous and Bilevel Positive Airway Pressure Therapy in Sleep Disorder Breathing”—Patrick Strollo, Jr., MD, Mark H. Sanders, MD, and Ronald A. Stiller, MD, PhD, pp. 221–230
Oral and Maxillofacial Surgery Clinics of North America, “Oral and Maxillofacial Treatment of Obstructive Sleep Apnea,” Volume 7, Number 2, May 1995; W. B. Saunders Company, The Curtis Center, Independence Square, West Philadelphia, PA, 19106
“Adjunctive Surgical Procedures in Obstructive Sleep Apnea”—Robert F. Guyette, DMD, MD and Peter D. Waite, MPH, DDS, MD, pp. 301–310
Oral and Maxillofacial Surgery Clinics of North America, “Oral and Maxillofacial Treatment of Obstructive Sleep Apnea,” Volume 7, Number 2, May 1995; W. B. Saunders Company, The Curtis Center, Independence Square, West Philadelphia, PA, 19106
“Maxillomandibular Advancement Surgery: A Cure for Obstructive Sleep Apnea Syndrome”—Peter D. Waite, MPH, DDS, MD and Shashindar M. Shettar, MD, pp. 327–336
- Etiology/Risk Factors (Figure 10.5)
- Signs/Symptoms (Figure 10.6)
- Waking up with headache, dry mouth, or sore throat
- Primarily from obstructive sleep apnea
- Waking up with headache, dry mouth, or sore throat
- Signs/Symptoms (Figure 10.6)
- Diagnosis (Obstructive Sleep Apnea)
- STOPBANG
- Screening tool
- STOPBANG covered on page 77
- Polysomnography is the gold standard for diagnosis
- Complete night study
- Apnea hypopnea index (AHI)
- The AHI is the average number of apneic or hypopneic events lasting a minimum of 10 seconds per hour of sleep recorded during polysomnography
- Also monitored/included:
- ECG
- SpO2
- STOPBANG