The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management

Vlad, Ana Maria; Stefanescu, Cristian Dragos; Hainarosie, Razvan

Ana Maria Vlad, Cristian Dragos Stefanescu, Razvan Hainarosie

The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management

Abstract:
Positive airway pressure (PAP) is the standard treatment for patients with moderate to severe obstructive sleep apnea, especially when a correctable anatomic obstacle is not identified. The PAP efficiency strongly depends on the appropriate use during sleep. Despite the recent advancements in PAP interface designs, overall adherence to therapy remains low. The main sources of discomfort consist of air leakage and mask overtightening leading to skin problems. However, these disadvantages have been partially reduced by new interfaces like nasal pillows that have the capacity to reduce the contact of the silicone cushion with the skin, reducing the chances of skin irritation. At the same time, assuring a better seal prevents air leakage and is particularly useful in patients with internal valve insufficiency. We present a case of a 57-year-old patient with severe sleep apnea syndrome whose efficient treatment was delayed by an inadequate PAP mask prescription at diagnosis. Due to low treatment compliance secondary to the perceived adverse effects of the oronasal mask, the patient decided to discontinue treatment for two years with subsequent aggravation of sleep apnea symptoms. The patient’s sensitivity to the silicone mask cushion and treatment ineffectiveness due to internal valve collapse were the main causes of treatment failure. After changing of PAP interface, the patient achieved long-term compliance. Our case report reflects the importance of choosing the most suitable PAP interface in accordance with the patient’s particularities. In the absence of this approach, appropriate treatment might be delayed with detrimental consequences, especially in severe cases. Considering PAP adherence following therapy initiation usually predicts long-term compliance, finding the best mask design from the beginning can predict therapeutic success.

Keywords:
OSA; PAP interface; nasal mask; oronasal mask; nasal pillow

Issue: 2023 Volume 60, Issue 3

Pages: 31-36

Publication date: 2023/10/4

https://doi.org/10.37358/MP.23.3.5673

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Citation Styles

Cite this article as:
VLAD, A.M., STEFANESCU, C.D., HAINAROSIE, R., The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management, Mater. Plast., 60(3), 2023, 31-36. https://doi.org/10.37358/MP.23.3.5673

Vancouver
Vlad AM, Stefanescu CD, Hainarosie R. The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management. Mater. Plast.[internet]. 2023 Jul;60(3):31-36. Available from: https://doi.org/10.37358/MP.23.3.5673

APA 6th edition
Vlad, A.M., Stefanescu, C.D. & Hainarosie, R. (2023). The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management. Materiale Plastice, 60(3), 31-36. https://doi.org/10.37358/MP.23.3.5673

Harvard
Vlad, A.M., Stefanescu, C.D., Hainarosie, R. (2023). 'The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management', Materiale Plastice, 60(3), pp. 31-36. https://doi.org/10.37358/MP.23.3.5673

IEEE
A.M. Vlad, C.D. Stefanescu, R. Hainarosie, "The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management". Materiale Plastice, vol. 60, no. 3, pp. 31-36, 2023. [online]. https://doi.org/10.37358/MP.23.3.5673

Text
Ana Maria Vlad, Cristian Dragos Stefanescu, Razvan Hainarosie,
The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management,
Materiale Plastice,
Volume 60, Issue 3,
2023,
Pages 31-36,
ISSN 2668-8220,
https://doi.org/10.37358/MP.23.3.5673.
(https://revmaterialeplastice.ro/Articles.asp?ID=5673)
Keywords: OSA; PAP interface; nasal mask; oronasal mask; nasal pillow

RIS
TY - JOUR
T1 - The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management
A1 - Vlad, Ana Maria
A2 - Stefanescu, Cristian Dragos
A3 - Hainarosie, Razvan
JF - Materiale Plastice
JO - Mater. Plast.
PB - Materiale Plastice SRL
SN - 2668-8220
Y1 - 2023
VL - 60
IS - 3
SP - 31
EP - 36
UR - https://doi.org/10.37358/MP.23.3.5673
KW - OSA
KW - PAP interface
KW - nasal mask
KW - oronasal mask
KW - nasal pillow
ER -

BibTex
@article{MatPlast2023P31,
author = {Vlad Ana Maria and Stefanescu Cristian Dragos and Hainarosie Razvan},
title = {The Importance of Appropriate PAP Silicone Mask Selection in Sleep Apnea Management},
journal = {Materiale Plastice},
volume = {60},
number = {3},
pages = {31-36},
year = {2023},
issn = {2668-8220},
doi = {https://doi.org/10.37358/MP.23.3.5673},
url = {https://revmaterialeplastice.ro/Articles.asp?ID=5673}
}

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