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Sleep Surgeon Question 40

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Question 40 - Should I consider MMA for mild OSA?

From: D. A.

Dear Dr,

Given that sleep apnea gets worse with time, and that I have failed at CPAP and UPPP, should an MMA be considered even if my diagnosis is mild - REM dependent (17.4 REM-AHI)?

Thank you,

D. A.

Response Provided by Dr. Kasey Li
May 31, 2008

It is well-known that the severity of sleep apnea is not correlated with the degree of symptoms. I have had many patients with "mild" sleep apnea but have significant tiredness and fatigue. On the other hand, I have also had patients with "severe" sleep apnea with minimal symptoms.

If you are greatly affected by your "mild" sleep apnea, you should certainly consider further treatment.

You will need to have an in-depth evaluation before proceeding futher treatment. A trial of oral appliance is reasonable as well.

Kasey Li, MD

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