Upper airway surgery to rescue the "untitratable" patient with OSA and obesity

This is a case report of an 41-year-old male with obesity (body mass index 90 kg/m²), severe obstructive sleep apnea (OSA), and an apnea-hypopnea index of 90 events/h despite high bilevel positive airway pressure (BPAP). He presented to the PAP Alternatives Clinic and underwent tonsillectomy, expans...

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Bibliographic Details
Published in:Journal of clinical sleep medicine 2020-01, Vol.16 (1), p.149-151
Main Authors: Seay, Everett G, Mulholland, Graeme, Dedhia, Raj C
Format: Article
Language:English
Subjects:
Adult
Case Reports
Continuous Positive Airway Pressure
Humans
Male
Obesity - complications
Obesity - surgery
Pharynx - surgery
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - surgery
Tonsillectomy
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Summary:This is a case report of an 41-year-old male with obesity (body mass index 90 kg/m²), severe obstructive sleep apnea (OSA), and an apnea-hypopnea index of 90 events/h despite high bilevel positive airway pressure (BPAP). He presented to the PAP Alternatives Clinic and underwent tonsillectomy, expansion sphincter pharyngoplasty, and partial uvulectomy to improve positive airway pressure effectiveness. Postoperative BPAP retitration resolved the patient's OSA. The patient is currently using BPAP therapy at home with improvement in both objective and self-reported OSA outcomes.
ISSN:1550-9389
1550-9397
DOI:10.5664/jcsm.8142