Treatment

1. Weight Reduction
2. Positional Treatment
3. Correct increased nasal resistance
4. Dental Appliances
5. Increase Upper Airway Muscle Tone
   • avoid alcohol, sedatives and hypnotics
   • pharmacologic intervention
   • protriptyline
   • progesterone
   • theophylline
   • strychnine/nicotine
   • electrical stimulation
6. Nasal Continuous Positive Airway Pressure
   • standard of care
   • titrated pressure
   • nasal mask vs. pillows
   • CPAP vs. BiPAP
   • "AutoPAP" or DPAP or VPAP
   • Compliance
7. Surgical Correction of Upper Airway Anatomic Abnormalities
   • tracheostomy
   • nasal surgery
   • adenotonsillectomy
   • uvulopalatopharyngoplasty
   • mandibular osteotomy with genioglossus advancement
   • hyoid myotomy and suspension
   • expansion hyoidoplasty
   • bimaxillary advancement
8. Indications for treatment
   • symptoms
   • AHI