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The treatment of OSA should be multifactorial and include
the following:
- Lifestyle changes: the most important
factor in the genesis of OSA is weight and therefore weight
reduction and lifestyle interventions such as a reduction
of alcohol consumption, increase in daily exercise and
other pro-health interventions are strongly recommended
as the core intervention strategy. However, lifestyle
measures alone cannot effectively treat the underlying
problem and this is where effective treatments have been
developed. These include oral appliances (also known as
mandibular advancement splints); Continuous Positive Airways
Pressure (CPAP) therapy and Surgical Interventions.
- Oral appliances (Mandibular Advancement Splints):
work by virtue of the simple fact that moving your jaw
forward a short distance stops you snoring (this is true
for a very large percentage of snorers).Mandibular advancement
can provide immediate relief from snoring. Mandibular
advancers are an alternative to CPAP, laser treatment
and various surgical procedures and have been shown to
be effective at treating snoring and low level upper airway
obstructions associated with Obstructive Sleep Apnoea
(OSA) and other sleep disorders. Custom-made splints are
normally fitted by a dentist or dental technician. Head
& neck surgeons, thoracic consultants, consultant
physicians, maxillofacial surgeons, sleep specialists
and general practitioners may also be involved in the
process.
- Surgery for OSA: In a small percentage
of patients with OSA, surgical and laser interventions
have been found to be useful where an anatomical cause
such as enlarged tonsils or an elongated soft palate have
been shown to be causing obstruction to the airway.
- Continuous Positive Airway Pressure (CPAP)
Therapy is the most common and effective
treatment for Obstructive Sleep Apnoea. The CPAP machine
adds gentle pressure to the air as it is breathed in.
This
prevents the airway from collapsing and stops obstruction
during sleep. Continuous Positive Airway Pressure (CPAP)
is a proven and reliable treatment for Obstructive Sleep
Apnoea and other breathing related sleep disorders. At
the Sleep Medicine group of sleep centres we have a team
of experienced doctors and medical technologists who are
leaders in the field of CPAP therapy. We provide the full
range of CPAP assessment, treatment and follow up services
to our patients and to fellow professionals who require
access to this gold standard service. Our services involve
patient education, domiciliary support and regular follow
up to monitor compliance.
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