What is the first-line therapy for Obstructive Sleep Apnea?

Tonsillectomy and adenoidectomy are often used as first-line treatments in youngsters. These treatments allow the airway behind the nose and palate to be opened. If a tongue limitation is found, it may be necessary to perform a lingual frenectomy treatment to correct the growth of the upper and lower jaws. Positive airway pressure (PAP) and MAD are not often used since they may interfere with the development of the upper and lower jaws; the use of PAP or MAD is determined on a case-by-case basis.
In adults, the first-line treatment option for OSA is behavioral change, such as weight reduction and sleeping position adjustment, as well as PAP therapy. When administered on a regular basis, PAP therapy is the gold standard for OSA treatment. However, some patients are unable to endure PAP treatment owing to claustrophobia, nasal or pharyngeal airway blockage, mask and hose discomfort, and excessive positive pressure. Patients who have not responded to PAP therapy are assessed for additional treatment alternatives.
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