Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS)

Definitions Apnea – a temporary absence or cessation of breathing

Definitions OSAHS – a condition in which a person experiences repeated episodes of apnoea because of a narrowing or closure of the pharyngeal airway during sleep, resulting in daytime symptoms, especially excessive sleepiness

Definitions Apnea-hypopnea index (AHI) Numbers of apneas and hypopneas/ 1 sleeping hour Severity of sleep related breathing disorders: Normal: AHI<5/h Mild: AHI: 5-15/h Moderate: AHI:16-30/h Sever: AHI>30/h

OSAHS: symptoms Daily Excessive daytime sleepiness Unrefreshing sleep Memory disturbances Morning headache Depression Decreased libido Stomach ache

OSAHS: symptoms Nightly snoring apneas choking, gasping arousals sweating dry mouth palpitation nycturia

OSAHS: Diagnosis Polysomnogram: Gold standard Airflow of the breath SaO2 Movement of the Thoracoabdominal EEG ENG EMG Mullers test Air way presseur test

OSAHS: diagnostic criteria (1. or 2.) and 3.

Risk factors of OSAHS Obesitas Age Male gender Pozitive family history of OSAHS Alcohol consumption before bedtime Race Smoking Sedatives Craniofacial anomalies Hypothyroidism, acromegaly

treatment Lifestyle management, including weight loss& alcohol withdrawal Position training Nasal, pharyngeal surgery (UPPP) Oral appliances CPAP – continuous positive airway pressure

CPAP technology

CPAP technology

Treatment:UPPP

Treatment:UPPP

Thank you !