Treatment of sleep disordered breathing and obstructive sleep apnea

The management of sleep disordered breathing (SDB) and obstructive sleep apnea (OSA) in adults can be challenging. Treatment recommendations are based on a number of factors including the severity of SDB, the existence and extent of comorbid conditions, the severity of presenting symptoms and patient preference. General management includes addressing lifestyle issues, particularly weight loss and the avoidance of sedatives. The primary specific treatment modality for SDB is continuous positive airway pressure (CPAP). However, for selected patients that cannot accept this therapy, other modalities such as upper airway surgery and oral appliances should be considered.