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February 4, 2004

Mechanisms and Treatment of Obstructive Sleep Apnea

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(5):557. doi:10.1001/jama.291.5.557-b

To the Editor: Dr Shamsuzzaman and colleagues1 only briefly addressed approaches to treatment of OSA, including continuous positive airway pressure (CPAP) and surgery. Although uvulopalatoplasty is a commonly performed procedure in these patients, it is irreversible and may be followed by relapse in nearly half of all patients.2 Mandibular advancement devices, which move the tongue forward and thus prevent it from falling into the airway during recumbency, are another option.35

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