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Re: Please help


Posted by cleric on April 12, 2001 at 11:44:43:

In Reply to: Re: Please help posted by Frank on April 12, 2001 at 04:45:31:

Sigh. You hoseheads just don't know very much about the statistics of OSA. I've published links to good papers on OSA surgery in this forum already, so I won't bother repeating them now. But here are two little tidbits:

1. CPAP compliance rates are rather low. Only about 60% of patients prescribed CPAP actually use the thing for more than 5 hours per night. And when you're not wearing your CPAP, or when it slips out of place, your apnea is untreated. About a third of patients given a CPAP refuse to wear it because it can cause claustrophobia.

2. Tracheostomy is not the only reliable surgical treatment for OSA. Those who say it is are just parroting 15-year-old papers. Maxillomandibular advancement cures OSA (ie., brings the post-surgical RDI down to the same RDI that patient had while on CPAP) about 95% of the time. It is a more specialized technique, so fewer surgeons are qualified to perform it, but MMA is not at all "iffy."


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