Speaker: Date: Topic
William Innis, MD
Oct. 22, 2014
Obstructive Sleep Apnea: When CPAP is Not Enough
Responsibility for Content
The WebEx video, PowerPoint presentation, Take-Away points and article links were sent by the Medical Library and the CME Committee.
Diane E. Young, Information Specialist
Take-Away Points of the Presentation
1. CPAP is first-line therapy for OSA; however, successful long-term treatment of OSA with CPAP is difficult to achieve.
2. Consider both nasal and pharyngeal anatomy when tailoring treatment of OSA.
3. Allergies and sinusitis are non-surgical conditions that if treated may reduce AHI.
4. Deviated nasal septum, nasal valve issues, and nasal polyposis are surgical pathologies that can greatly decrease tolerance of CPAP.
5. Staging is important to determine if UPPP and/or base of tongue procedures are appropriate.
6. There is active research regarding the role of bariatric surgery and hypoglossal nerve stimulation in the treatment of OSA.