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Treatment Failure of Continuous Positive Airway Pressure with a Full Face Mask, Reversed with a Nasal Mask

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초록

Although a nasal mask is a standard interface for continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA), severe mouth breathing during sleep often leads to the use of a full face mask which covers the nose and mouth. Herein, we present a case of a patient with uncontrolled severe OSA with CPAP and a full face mask, who subsequently shows dramatic improvement of OSA with a nasal mask and lower CPAP pressure.

Abstract

Although a nasal mask is a standard interface for continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA), severe mouth breathing during sleep often leads to the use of a full face mask which covers the nose and mouth. Herein, we present a case of a patient with uncontrolled severe OSA with CPAP and a full face mask, who subsequently shows dramatic improvement of OSA with a nasal mask and lower CPAP pressure.

참고문헌 (9)

  1. Lee SM, "Common side effects and compliance with nasal continuous positive airway pressure in Korean OSA patients:short-term follow up", J Korean Sleep Res Soc, 7, pp.1~7 (2010)
  2. Bachour A, "Mouth breathing compromises adherence to nasal continuous positive airway pressure therapy", Chest, 12, pp.1248~1254 (2004)
  3. Sanders MH, "CPAP therapy via oronasal mask for obstructive sleep apnea", Chest, 106, pp.774~779 (1994)
  4. Teo M, "Equivalence of nasal and oronasal masks during initial CPAP titration for obstructive sleep apnea syndrome", Sleep, 34, pp.951~955 (2011)
  5. Ebben MR, "The effcacy of three different mask styles on a PAP titration night", Sleep Med, 13, pp.645~649 (2012)
  6. Smith PL, "Upper airway pressure-flow relationships in obstructive sleep apnea", J Appl Physiol (1985), 64, pp.789~795 (1988)
  7. Schorr F, "Continuous positive airway pressure delivered by oronasal mask may not be effective for obstructive sleep apnoea", Eur Respir J, 40, pp.503~505 (2012)
  8. Ng JR, "Choosing an oronasal mask to deliver continuous positive airway pressure may cause more upper airway obstruction or lead to higher continuous positive airway pressure requirements than a nasal mask in some patients: a case series", J Clin Sleep Med, 12, pp.1227~1232 (2016)
  9. Vrijsen B, "Upper airway obstruction during noninvasive ventilation induced by the use of an oronasal mask", J Clin Sleep Med, 10, pp.1033~1035 (2014)

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