Army Physicians Present New Research Showing Surgery Cures Sleep Apnea
/PRNewswire/ -- This week U.S. Army sleep specialists presented new research at SLEEP 2011, a joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society. As sleep disorders such as obstructive sleep apnea and insomnia are increasingly common in soldiers, they have become an important and growing research focus for the Army.The two poster presentations are as follows:
Surgical Treatment for Adult Obstructive Sleep Apnea
Six in ten soldiers with moderate-to-severe obstructive sleep apnea (OSA) were cured after undergoing maxilla-mandibular advancement (MMA), a surgery to increase the diameter of the upper airway, according to a study presented today by Lt. Col. The study, titled "Surgical Treatment for Adult Obstructive Sleep Apnea: A Systematic Review of High-Level Evidence," was a retrospective review of 37 soldiers who underwent the procedure. Study findings showed that 22, or 59.6 percent, reduced their apnea-hypopnea index (AHI), a score of OSA severity, by at least half, which met the criteria for a surgical cure. In fact, 16 soldiers, or 43 percent of total patients, had no residual disease at all after undergoing MMA. Only one of the study participants did not experience a clinically significant reduction in OSA following MMA.
"While a CPAP mask and positive airway pressure are the preferred civilian treatment for sleep apnea, it is not well-tolerated in all patients, and may be impractical for soldiers deploying to some locations," said Dr. Mysliwiec. "MMA significantly reduced the severity of sleep apnea for our patients, and improved the quality of their sleep. These findings could improve the standard of care for civilians and active duty service members with OSA."
Quetiapine Prescriptions in Active Duty Patients
A retrospective review of 692 active duty soldiers who received prescriptions for quetiapine (brand name Seroquel), an atypical antipsychotic, measured the extent of side effects associated with the drug, including weight gain, onset of diabetes and heart beat irregularity (prolongation of the QT interval). Findings from the study, titled "Quetiapine Therapy and Monitoring in Active Duty Patients," included an average 6.3 pound weight gain and increased chance of QT prolongation, which could lead to arrhythmia and sudden death. None of the study participants developed diabetes or arrhythmias during the study period.
Quetiapine is indicated by the FDA for treatment of schizophrenia and other serious mental illnesses, but the vast majority of soldiers received prescriptions for other symptoms, primarily insomnia (57 percent of prescriptions written) and anxiety (20 percent). Lt. Col. Mysliwiec was the lead author of the study.
Severe Sleep Apnea Treatment - News
"Initial improvements in obstructive sleep apnoea after treatment with a very low energy diet can be maintained after one year in obese men with moderate to severe disease. Those who lose the most weight or have severe sleep apnoea at baseline benefit
As sleep disorders such as obstructive sleep apnea and insomnia are increasingly common in soldiers, they have become an important and growing research focus for the Army. Six in ten soldiers with moderate-to-severe obstructive sleep apnea (OSA) were
OPANA ER should be administered with extreme caution to patients with conditions accompanied by hypoxia, hypercapnia, or decreased respiratory reserve such as: asthma, chronic obstructive pulmonary disease or cor pulmonale, severe obesity, sleep apnea
Dr. Ron Hanson of St. Cloud Ear, Nose & Throat holds an implantable electronic device for patients with moderate to severe obstructive sleep apnea at his office May 23. Hanson is involved in a clinical study to evaluate the safety and effectiveness of
The study included about 60 overweight and obese adult men with moderate to severe sleep apnea who lost an average of 40 pounds over nine weeks on a specially formulated, largely liquid diet totaling about 500 calories a day.
Rosie O'Donnell and Obstructive Sleep Apnea (The View) | Snoring Cures
In a 5 hour period I stopped breathing 180 times. The first night with the CPAP & I could feel the difference. I fall asleep in a few minutes, I don’t toss & turn. I wake up in the same position I fell asleep in. It’s a wonder full sleep & I don’t snore. You can make love before you put on the CPAP mask, so it doesn’t interfere.
Two of my closest friends have found out they have sleep apnea. One found out in her 70s and has used both types of breathing devices, which help her tremendously. She is somewhat overweight, if that makes a difference (this presentation made it sound uncertain that weight really makes a difference). My other friend was not overweight, petite in fact, and found out in her 30s after noticing that she was tired all day. She had snored loudly for years. The apparatus helped her too.
Do you actually know anything about sleep apnea. Weight is not the definitive cause of sleep apnea. You can be overweight and never get suffer from it. You can be of a healthy weight and have it. I have sleep apnea and yes I am overweight. But, there were others in the sleep apnea class I took that were of a healthy weight. Our therapist confirmed that weight is not always the cause can be muscular as well. PLease get your facts straight.im a 22 year old female and yep i have sleep apnea. Luckily i have lost 50lbs and my doc says with the rate that im going, my sleep apnea may go away. Unfortunately i sleep with my mouth open so i have to use a full mouth piece. Its pretty embarassing when people come in my room and see it but its sooo worth it. plus i dont live with my boyfriend so hopefully wen we move intogether i wont have to wear it anymore. BUT IT WORKS WONDERS. i have even started getting A’s in school!
Some great information here. To those who have spoken about surgery, it rarely works, tonsillectomy in your teens can be effective, but in adults 6-9 months post surgery (UPPP)I have not seen a single patient who’s sleep related breathing disorder was effectively treated. And yes this is a treatment, similar to a diabetic uses insulin as a treatment, CPAP is a sleep apnea treatment.
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