Because of its prevalence, cost-effective management is essential, and fortunately, a number of acceptable options are available. A CPAP device is essentially a ventilator that forces air through the collapsed airway into the lungs, but it is effective only while in use, affording no permanent cure.
Surgical intervention results in permanent alteration of the airway.
The long-term surgical cure rate equals the CPAP control rate, provided appropriate surgical protocol is followed. Fortunately, prosthetic devices are available as effective and low-cost treatment options for many patients. While primary hypoventilation may be an underlying cause of SDB, the most important factor lies in obstruction of the upper airway. Generally, obstruction of the airway may be found at 3 primary sites, ie, nose, velopharynx, and hypopharynx. Hundreds of devices have been patented for treatment of snoring and sleep apnea, with the intent of directly or indirectly opening the airway.