Positional therapy in sleep apnea – one fits all? What determines success in positional therapy in sleep apnea syndrome.

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Troester N1, Palfner M1, Dominco M1, Wohlkoenig C1, Schmidberger E2, Trinker M1, Avian A2,3. Author information Abstract INTRODUCTION: Positional therapy is a simple means of therapy in sleep apnea syndrome, but due to controversial or lacking evidence, it is not widely accepted as appropriate treatment. In this study, we analysed data to positional therapy with regard to successful reduction of AHI and predictors of success. METHODS: All consecutive

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Effect of Sleeping Position on Upper Airway Patency in Obstructive Sleep Apnea Is Determined by the Pharyngeal Structure Causing Collapse.

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    Marques M1,2, Genta PR2, Sands SA1,3, Azarbazin A1, de Melo C1,4, Taranto-Montemurro L1, White DP1, Wellman A1. Author information Abstract OBJECTIVES: In some patients, obstructive sleep apnea (OSA) can be resolved with improvement in pharyngeal patency by sleeping lateral rather than supine, possibly as gravitational effects on the tongue are relieved. Here we tested the hypothesis that the improvement in

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Differential impact of body position on the severity of disordered breathing in heart failure patients with obstructive vs. central sleep apnea.

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Pinna GD1, Robbi E2,3, La Rovere MT3, Taurino AE2, Bruschi C4, Guazzotti G3, Maestri R1. Author information Abstract AIMS: Obstructive (OSA) and central sleep apnoea (CSA) are a common comorbidity in patients with heart failure. The purpose of this study was to assess and compare the impact of body position on the severity of sleep apnoea in these two groups of

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Diagnosis and treatment of snoring in adults-S2k Guideline of the German Society of Otorhinolaryngology, Head and Neck Surgery.

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Stuck BA1, Dreher A, Heiser C, Herzog M, Kühnel T, Maurer JT, Pistner H, Sitter H, Steffen A, Verse T. Author information Abstract OBJECTIVES: This guideline aims to promote high-quality care by medical specialists for subjects who snore and is designed for everyone involved in the diagnosis and treatment of snoring in an in- or outpatient setting. DISCUSSION: To date, a satisfactory definition of snoring is lacking. Snoring is caused

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Simple snoring: not quite so simple after all?

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Deary V1, Ellis JG1, Wilson JA2, Coulter C3, Barclay NL4. Author information Abstract Simple snoring (SS), in the absence of obstructive sleep apnoea (OSA), is a common problem, yet our understanding of its causes and consequences is incomplete. Our understanding is blurred by the lack of consistency in the definition of snoring, methods of assessment, and degree of concomitant complaints. Further, it

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Sleep Disorders in Pregnancy.

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Bazalakova M1. Author information Abstract Sleep and pregnancy are dynamic processes with unique and evolving physiological substrates. Given the “restorative hypothesis” of sleep as an anabolic process essential for cellular and tissue regeneration, the largely unexplored role of sleep in gestational physiology and pregnancy outcomes promises to be a fascinating topic. Emerging literature suggests that

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Prospective observation on the association of snoring with subclinical changes in carotid atherosclerosis over four years.

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Kim J1, Pack A2, Maislin G2, Lee SK3, Kim SH4, Shin C5. Author information Abstract OBJECTIVE: Although there is a growing interest in the independent effect of snoring on carotid atherosclerosis, few studies have observed the relationship between snoring and change in carotid atherosclerosis prospectively. Therefore, the present study aimed to prospectively examine the association of snoring with subclinical changes in carotid atherosclerosis during a four-year

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Supine position related obstructive sleep apnea in adults: pathogenesis and treatment.

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Joosten SA1, O’Driscoll DM2, Berger PJ3, Hamilton GS4. Author information Abstract The most striking feature of obstructive respiratory events is that they are at their most severe and frequent in the supine sleeping position: indeed, more than half of all obstructive sleep apnea (OSA) patients can be classified as supine related OSA. Existing evidence points to supine related

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Face tissue pressures in prone positioning: a comparison of 3 pillows

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  Abstract STUDY DESIGN: Pilot Study. OBJECTIVE: The objective of this study was to compare face tissue pressures for 3 different prone head positioners in healthy, conscious individuals in the prone position. SUMMARY OF BACKGROUND DATA: The incidence of intraoperatively acquired pressure ulcers has been reported to range from 12% to 66%; healthcare literature lacks

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Positional therapy for obstructive sleep apnea patients: A 6-month follow-up study.

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Oksenberg A1, Silverberg D, Offenbach D, Arons E. Author information Abstract BACKGROUND: Approximately half of obstructive sleep apnea (OSA) patients are positional (i.e., the majority of their breathing abnormalities during sleep appear in the supine posture). Little information exists as to whether avoiding the supine posture during sleep (positionaltherapy) is a valuable form of therapy for these patients. AIM: To assess the

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