OSAS
is the most common type of sleep apnea; it is caused by complete or partial
obstruction of the upper airway. This condition is characterized by repetitive
episodes of shallow or paused breathing during sleep, despite the effort to
breathe, and is usually associated with a reduction in blood oxygen saturation.
Severity of OSAS measured by the apnea hypopnea index (AHI) is assessed with
the apnomonitor and/or polysomnography (PSG). Patients with an AHI greater than
40 are advised to use nasal-continuous positive airway pressure (CPAP). More
than 100 patients use nasal-CPAP in our outpatient clinic; most of them sleep
well. We recommend uvulopalatopharyngoplasty
(UPPP) for patients with tonsillar hypertrophy.
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