Upper airway surgery to rescue the “untitratable” patient with OSA and obesity | Zendy

Everett G. Seay | Zendy; Graeme B. Mulholland | Zendy; Raj C. Dedhia | Zendy

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

Author(s) -

Everett G. Seay,

Graeme B. Mulholland,

Raj C. Dedhia

Publication year - 2020

Publication title -

journal of clinical sleep medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.529

H-Index - 92

eISSN - 1550-9397

pISSN - 1550-9389

DOI - 10.5664/jcsm.8142

Subject(s) - medicine , obstructive sleep apnea , atlanta , otorhinolaryngology , sleep medicine , positive airway pressure , gerontology , family medicine , general surgery , surgery , sleep disorder , psychiatry , pathology , cognition , metropolitan area

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.

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