Scientific Online Resource System

International Bulletin of Otorhinolaryngology

Historical development of methods for diagnosis and treatment of OSA

G. Georgieva, M. Stoykov, M. Milkov, S. Baycheva, M. Enchev

Abstract

Obstructive sleep apnea (OSA) has been known to mankind since ancient times. Medical  documents from 2000 years ago that have been found contain information describing severe snoring (apnea) characteristic of OSA. In order to obtain the information targeted research was carried out in the Scientific databases PubMed, Scopus, ScienceDirect, Web of Science. „History of OSA”, „CPAP”, „Polysomnography” keywords were used in for the search.
The aim of this article is to present the historical development of methods for diagnosis and treatment of OSA. In 1981 Sullivan et al. published in the Lancet scientific paper on Obstructive Sleep Apnea “ Reversal of obstructive sleep apnea by continuous airway pressure applied through the nares “ . At the end of the XIX th century, the term “Pickwickian syndrome” was introduced in the medical literature. In 1965, the polysomnographic unit was created and for the first time, with the help of electronic device, sleep apnea was registered in patients. Eventually ambulatory sleep testing was introduced as an alternative to polysomnography. Apnea Graph is a new innovative ambulatory sleep analysis tool that identifies the location of snoring obstruction and OSA. It also determines the type of OSA. In 1981, the first CPAP for treatment OSA was created. Sullivan’s findings prove that CPAP is a very effective device for treating OSA.

Keywords

History of OSA, CPAP, Polysomnography

Full Text


References

Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet. 1981 Apr 18;1(8225):862-5. doi: 10.1016/s0140-6736(81)92140-1. PMID: 6112294.

PICKWICKIAN syndrome. Br Med J. 1958 Oct 18;2(5102):964. PMID: 13584818.

CAYLER GG, MAYS J, RILEY HD Jr. Cardiorespiratory syndrome of obesity (Pickwickian syndrome) in children. Pediatrics. 1961 Feb;27:237 -45. PMID: 13691788.

NOUAILHAT F. [Obesity, cardiorespiratory insufficiency and somnolence. (Pickwickian syndrome)]. Fr Med. 1960 Dec;23:607-10. French. PMID: 13729690.

PINO G, CAMPUS S. [Cardio-respiratory insufficiency in obesity (Pickwickian syndrome)]. Folia Endocrinol Mens Incretologia Incretoterapia. 1960 Dec;13:796-819 . Italian. PMID: 13735871.

Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002;165:1217–39 )

Bosi M, De Vito A(2), Vicini C(3), Poletti V(1). The role of compact polysomnography/polygraphy in sleep breathing disorder patients’ management. Eur Arch Otorhinolaryngol. 2017 Apr;274(4):2013-2028.

Kapur VK, Auckley DH( 2), Chowdhuri S(3), Kuhlmann DC(4), Mehra R(5), Ramar K(6), Harrod CG(7). Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med. 2017 Mar 15;13(3):479-504.

Kim J, Kim T( 1), Lee D(1), Kim JW(2), Lee K(3). Exploiting temporal and nonstationary features in breathing sound analysis for multiple obstructive sleep apnea severity classification. Biomed Eng Online. 2017 Jan 7;16(1):6. doi: 10.1186/s12938-016-0306-7

Milkov M. Diagnosis of sleep disorders. – International Bulletin of Otorhinolaryngology, Varna, 5, 2009, 4, 31-35.

Milkov M. Esophageal manometry - a method for topical diagnosis of snoring. International Bulletin of Otorhinolaryngology, Varna, 6, 2010, 1, 48-52

Kaditis AG, Alonso Alvarez ML, Boudewyns A, Alexopoulos EI, Ersu R, Joosten K, Larramona H, Miano S, Narang I, Trang H, Tsaoussoglou M, Vandenbussche N, Villa MP, Van Waardenburg D, Weber S, Verhulst S. Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J. 2016;47(1):69-94

Landry SA, Joosten SA, Eckert DJ, Jordan AS, Sands SA, White DP, Malhotra A, Wellman A, Hamilton GS, Edwards BA. Therapeutic CPAP Level Predicts Upper Airway Collapsibility in Patients With Obstructive Sleep Apnea. Sleep. 2017 Jun 1;40(6). doi: 10.1093/sleep/zsx056.

Sommer UJ, Heiser C, Gahleitner C, Herr RM, Hörmann K, Maurer JT, Stuck BA. Tonsillectomy with Uvulopalatopharyngoplasty in Obstructive Sleep Apnea. Dtsch Arztebl Int. 2016 Jan 11;113(1-02):1-8.

Verse T, Stuck BA. Modern Modifications of Uvulopalatoparyngoplasty. HNO. 2017;65(2):90-98.

Sommer UJ, Heiser C, Gahleitner C, Herr RM, Hörmann K, Maurer JT, Stuck BA. Tonsillectomy with Uvulopalatopharyngoplasty in Obstructive Sleep Apnea. Dtsch Arztebl Int. 2016 Jan 11;113(1-02):1-8.

Pavelec V, Rotenberg BW( 2), Maurer JT(3), Gillis E(4), Verse T(5). A novel implantable device for the treatment of obstructive sleep apnea: clinical safety and feasibility. Nat Sci Sleep. 2016 May 4;8:137 -44.

Medical Advisory Secretariat. Polysomnography in patients with obstructive sleep apnea: an evidence-based analysis. Ont Health Technol Assess Ser. 2006;6(13):1-38. Epub 2006 Jun 1. PMID:23074483; PMCID: PMC3379160.

Ratneswaran D, Cheng M, Nasser E, Madula R, Pengo M, Hope K, Schwarz EI, Luo Y, Kaltsakas G, Polkey MI, Moxham J, Steier J. Domiciliary transcutaneous electrical stimulation in patients with obstructive sleep apnea and limited adherence to continuous positive airway pressure therapy: a single-centre, open-label, randomized, controlled phase III trial. EClinicalMedicine. 2023 Aug 3;62:102112. doi: 10.1016/j.eclinm.2023.102112. PMID: 37654667; PMCID: PMC10466238.




DOI: http://dx.doi.org/10.14748/orl.v19i1.9396

Refbacks

Font Size


|