Advances in Diagnosis and Treatment of Obstructive Sleep Apnea

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 1249

Special Issue Editor


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Guest Editor
Anesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, 88100 Catanzaro, Italy
Interests: obstructive sleep apnea; cephalometric indices; breathing; artificial ventilation

Special Issue Information

Dear Colleagues,

There are several types of sleep apnea, but the most common is obstructive sleep apnea (OSA). It often results in oxygen desaturation and arousal from sleep.

Obstructive sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These muscles support structures including the back of the roof of your mouth (soft palate), the triangular piece of tissue hanging from the soft palate (uvula), the tonsils, and the tongue. Several studies have demonstrated that craniofacial and soft tissue abnormalities such as mandibular retrognathia and adenoidal hypertrophy, as well as older age, male gender, and obesity, contribute to loss of airway patency in patients with OSA

Diagnosis of OSA requires a thorough clinical examination, a flexible nasendoscopy, and an overnight sleep study (polysomnogram). However, this is an expensive and time-consuming investigation that cannot precisely localize the site of obstruction. There is growing interest in using lateral cephalograms as a diagnostic tool. Meanwhile, cephalometric measurements like position and length of mandible, tongue, soft plate area, and facial height were also found to be different in OSA patients compared with healthy individuals.

This Special Issue focus on the advances in the pathology, symptom, diagnosis, and treatment of OSA; effective biomarkers of the pathogenesis and development of OSA; quality of life of people with OSA; and mechanisms linking diseases/disorders to OSA.

Dr. Andrea Bruni
Guest Editor

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Keywords

  • medical diagnosis
  • obstructive sleep apnea
  • craniofacial structure
  • airway
  • cephalometric indices
  • diagnosis and treatment of OSA

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Published Papers (1 paper)

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13 pages, 5039 KiB  
Guidelines
An Interdisciplinary Approach: Presentation of the Pediatric Obstructive Sleep Apnea Diagnostic Examination Form (POSADEF)
by Janine Sambale, Richard Birk, Ulrich Koehler, Wulf Hildebrandt and Heike Maria Korbmacher-Steiner
Diagnostics 2024, 14(15), 1593; https://doi.org/10.3390/diagnostics14151593 - 24 Jul 2024
Viewed by 845
Abstract
This report emphasizes the need for interdisciplinary collaboration in diagnosing and treating pediatric obstructive sleep apnea (OSA). OSA, affecting 1% to 4% of children, often results from adenotonsillar hypertrophy, craniofacial disorders, or obesity. While adenotonsillectomy is the primary treatment, about 75% of children, [...] Read more.
This report emphasizes the need for interdisciplinary collaboration in diagnosing and treating pediatric obstructive sleep apnea (OSA). OSA, affecting 1% to 4% of children, often results from adenotonsillar hypertrophy, craniofacial disorders, or obesity. While adenotonsillectomy is the primary treatment, about 75% of children, especially those with craniofacial disorders or obesity, continue to experience OSA symptoms post-surgery. To address these cases, several medical fields emphasize the necessity and demand for interdisciplinary collaboration in managing pediatric OSA. Therefore, the authors aimed to develop the Pediatric Obstructive Sleep Apnea Diagnostic Examination Form (POSADEF). This form, based on clinical experience and the literature, captures craniofacial and functional characteristics linked to pediatric OSA. A case study of an eight-year-old girl with OSA, who was unsuccessfully treated with adenotonsillectomy, underlines the importance of the diagnostic examination form. The orthodontic assessment revealed craniofacial disorders and subsequent treatment with maxillary expansion and functional appliance therapy resolved her OSA symptoms. This case demonstrates the value of POSADEF in enabling comprehensive evaluation and treatment across medical disciplines. POSADEF is designed to assist health care professionals in diagnosing craniofacial and orofacial anomalies contributing to pediatric OSA. Full article
(This article belongs to the Special Issue Advances in Diagnosis and Treatment of Obstructive Sleep Apnea)
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