IJOHNS  Vol.3 No.4 , July 2014
The Treatment Strategy of Patients with Sleep Apnea Syndrome in Our Department and Subsequent Course

It is known that acute or chronic heart failure can develop in patients with grave sleep apnea syndrome (SAS), and known to have the social problem including an accident and the decrease of the labor will. Several medical treatments are now available for SAS. We considered problems of the treatment based on the practice situation of our department about the present conditions and subsequent treatment. The subjects consisted of 306 patients. We measured Epworth Sleepiness Scale (ESS) and apnea hypopnea index (AHI) after polysomnography in all patients at the first time and 6 months later. So, it was found that AHI and ESS decreased when we could be treated in the SAS patients appropriately. It was confirmed that the choice of the appropriate regimen was important.

Cite this paper
Fujioka, T. and Yamane, H. (2014) The Treatment Strategy of Patients with Sleep Apnea Syndrome in Our Department and Subsequent Course. International Journal of Otolaryngology and Head & Neck Surgery, 3, 179-183. doi: 10.4236/ijohns.2014.34033.
[1]   Rössner, S., Lagerstrand, L., Persson, H.E., et al. (1991) The Sleep Apnea Syndrome in Obesity: Risk of Sudden Death. Journal of Internal Medicine, 230, 135-141.

[2]   Guilleminault, C., Tilkian, A. and Demont, W.C. (1976) The Sleep Apnea Syndrome. Annual Review of Medicine, 27, 465-484.

[3]   Kayukawa, Y. (2002) Etiology of Sleep Disordered Breathing. Nipponhyoronsya, 2-8.

[4]   Young, T., Palta, M., Dempsey, J., et al. (1993) The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults. New England Journal of Medicine, 328, 1230-1235.

[5]   Johns, M.W. (1991) A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540-545.

[6]   Kenny, P., Pang, B. and Woodson, T. (2007) Expansion Sphincter Pharyngoplasty: A New Technique of Obstructive Sleep Apnea. Otolaryngology Head and Neck Surgery, 137, 110-114.

[7]   Micheal, F., Hani, Z.R., Ramakrishnan, V., Jonathan, P., et al. (2004) Z-Plalatoplasty: A Technique for Patients without Tonsils. Otolaryngology Head and Neck Surgery, 131, 89-100.