Treatment Principles for Sleep Apnea and Snoring
Sleep Apnea Treatment Methods Explained by a Neurologist with 16 Years of Experience
Samsung Smart Neurology (Website: https://smartbrain.kr/) Chief Director Park Jae-hyun
Graduated from Sungkyunkwan University College of Medicine, Visiting Professor, Department of Neurology, Samsung Seoul Hospital
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1. CPAP therapy is the principle
1. If used correctly, the effect is almost 100%
2. Those who adapt well Approximately 80%
3. Covered by insurance. 17,800 won per month
4. Various evidence showing reductions in blood pressure, blood sugar, cardiovascular disease, heart failure, and mortality
5. While 6 hours or more is best, there are studies suggesting that using it for just 2 hours is better than not using it at all. ** CPAP Reimbursement Criteria
Polysomnography results showing an Apnea-Hypopnea Index (AHI) of
1. 15 or higher
2. 10 or higher with 1) insomnia, 2) daytime sleepiness, 3) cognitive decline, 4) mood disorder
3. 5 or higher with hypertension, 2) anemic heart disease, 3) history of stroke, 4) oxygen saturation less than 85%
2. Alternative Treatment: In cases of failure or refusal of CPAP treatment
1. Behavioral therapy
2. Oral appliances
3. Surgical treatment
4. Supportive therapy
Behavioral therapy
Weight loss: A 10% weight gain leads to a 32% worsening of apnea, while a 10% weight loss leads to a 26% reduction in apnea
Sleeping on one's side
Abstinence from alcohol. If not possible, reduce alcohol consumption and avoid drinking within 2 hours of bedtime.
Be cautious with sleeping pills.
Quit smoking.
Oral appliances.
Effective in widening the airway by pulling the jaw forward.
Effective in about 80% of mild cases and 60% of severe cases, making it less effective than CPAP machines.
Expensive as it is not covered by insurance.
Surgical treatment.
Surgery to open the upper airway.
Vulvopalapronoplasty: Ineffective and prone to recurrence.
Tracheotomy and maxillofacial advancement are major surgeries; they are considered only when apnea is very severe and other treatments have failed, but are rarely performed in reality.
Use CPAP or oral appliances first.
Supportive care.
Bariatric surgery: Considered for morbid obesity with a BMI of 40 or higher, or 35 or higher accompanied by other diseases.
*This is a personal opinion; please consult your doctor for details.
*Online comments are strictly personal opinions and do not constitute a proper examination or medical diagnosis; please visit a nearby neurology clinic for accurate information. #SeoulNeurology #SeochoNeurology #YangjaeNeurology #GangnamNeurology #SamsungNeurology #Neurology #Neurologist #ParkJaeHyun #SleepApnea #SleepApnea #CPAP