This is a case report of an 41-year-old male with obesity (body mass index 90 kg/m2), severe obstructive sleep apnea (OSA), and an apnea-hypopnea index of 90 events/h despite high bilevel positive airway pressure (BPAP). He presented to the PAP Alternatives Clinic and underwent tonsillectomy, expansion sphincter pharyngoplasty, and partial uvulectomy to improve positive airway pressure effectiveness. Postoperative BPAP retitration resolved the patient’s OSA. The patient is currently using BPAP therapy at home with improvement in both objective and self-reported OSA outcomes.
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机译：这是一个41岁男性肥胖症（体重指数90 kg / m2），严重阻塞性睡眠呼吸暂停（OSA）的病例报告，尽管较高的胆纤维正气道压力，但呼吸暂停的呼吸暂停症（BPAP）。他介绍了PAP替代诊所和接受扁桃体切除术，膨胀括约肌咽部，以及部分UVULECTOMY以提高正气道压力效率。术后BPAP保留解决了患者的OSA。患者目前在家庭中使用BPAP疗法，并改善目标和自我报告的OSA结果。
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