Obstructive sleep apnea (OSA) is a highly prevalent condition that is a health burden affecting virtually every specialty in medicine as it may be the root cause of many chronic conditions. In addition, the all-cause mortality risk is significantly increased in patients with sleep disordered breathing if left unmanaged. Currently, it is thought that OSA cannot be cured but only managed over the lifetime of a patient with: weight loss; surgical procedures; continuous positive airway pressure (CPAP) therapy; a mandibular advancement device (MAD) or a combination of these methods.
However, patient adherence with CPAP devices is low and many people suffer from untreated, severe OSA. There also can be problems with undesirable craniofacial changes with long term use of CPAP. Similarly, unwanted side effects of long-term MAD use have been reported. Therefore, the following case study demonstrates a novel protocol that may represent a potential cure for OSA in a patient diagnosed with severe OSA who was unable to comply with CPAP therapy.