Madeline J.L. Ravesloot MD Archives

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Multilevel Surgery With or Without Genioglossal Advancement

1 Introduction Severe obstructive sleep apnea syndrome (OSAS) is preferably treated by nasal continuous positive airway pressure (NCPAP). Unfortunately, 30% to 50% of patients refuse or cannot accept NCPAP for a variety of reasons. Approximately 25% of patients refuse it…

Analysis of CPAP Failures

1 Introduction Arguably, the goal of treatment of obstructive sleep apnea (OSA) is (1) elimination or improvement of symptoms, (2) normalization or improvement of sleep study parameters, and (3) cardiovascular risk reduction in the longer term. The latter is especially…