Adjunctive and alternative therapies for obstructive sleep apnea

Obstructive sleep apnea (OSA) treatment is primarily focused on the usage of positive airway pressure (PAP) to stent open the upper airway to prevent obstruction and subsequent oxyhemoglobin desaturation. Unfortunately, the success rate of individuals on PAP therapy is mixed. Given this challenge, adjunctive and alternative measures need to be understood and offered to patients to ensure adequate relief of their symptoms, such as daytime sleepiness, and to prevent long term complications. In this chapter, we aim to discuss a variety of adjunctive and alternative treatment options for the treatment of OSA and these will be discussed in two broad categories: non-surgical and surgical treatments.