1. Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS)

2. Definitions
Apnea – a temporary absence or cessation of breathing

3. 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

4. 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

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

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

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

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

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

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

11. CPAP technology

12. CPAP technology

13. Treatment:UPPP

14. Treatment:UPPP

15. Thank you !