Non-surgical treatment
1.Loss of weight More than 50% of obese patients with OSAHS
2.Change of sleep position
3.Medication
(1) Increase the opening of upper airway: Daphnin, ephedrine
(2) Nerve respiratory stimulants: progesterone 20-40mg, 3 times a day
(3) Drugs acting on general nerves such as anti-inhibitory drugs: Protirelin, chlorpromazine
(4) Thyroxine replacement therapy, which may or may not improve; side effects are significant and rarely used.
The main treatment principles of device therapy are.
1.Placement in the mouth makes the mandible and tongue body pull forward to increase the width of the posterior lingual airway.
2. Elevate the soft palate to reduce vibration.
3.Maintain the position of the tongue body to prevent the tongue root from falling back. Including nasopharyngeal and oropharyngeal placement of ventilation tubes and various orthopedic devices to reduce upper airway resistance, maintain ventilation during sleep, reduce the number of apnea, and improve symptoms.
Surgical treatment (release obstruction)
1. Nasal surgery
2. Adenoids scraping and tonsil removal
3. Conventional UPPP and modified UPPP
4. Laser surgery
5. Plasma cryoablation
6. Maxillary and mandibular anterior involvement, W-bone anterior displacement, hyoid suspension, etc.
7. Tracheotomy, mostly replaced by CPAP
8. PILLAR particle hollowing