[Obstructive sleep apnea syndrome : CPAP or Mandibular Advancement Device?].

Rev Med Suisse

Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, CHUV, 1011 Lausanne.

Published: October 2020

Obstructive sleep apnea syndrome (OSAS) is a respiratory disorder affecting up to 49 % and 23 % of middle to older aged men and women respectively. CPAP (continuous positive airway pressure) is the gold-standard treatment for severe apneas. In mild and moderate forms of OSAS, mandibular advancement devices (MAD) are equally a first line of treatment. Both CPAP and MAD have their advantages and side effects. Patient tolerance to these two therapies varies according to different patient-parameters. In order to guide physicians and patients in choosing between these two treatments, we present a description of both treatment modalities.

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