Indian Journal of Sleep Medicine

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2006 | October-December | Volume 1 | Issue 4

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J. C. Suri

Complex Sleep-Disordered Breathing – Clinical Significance and Therapeutic Implications

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:4] [Pages No:171 - 174]

   DOI: 10.5005/ijsm-1-4-171  |  Open Access |  How to cite  | 



Rayleigh Ping-Ying Chiang, Christian Guilleminault

Upper Airway Resistance Syndrome (UARS)

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:8] [Pages No:175 - 182]

   DOI: 10.5005/ijsm-1-4-175  |  Open Access |  How to cite  | 



S. Chokroverty

Narcolepsy and other Disorders of Excessive Sleepiness

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:6] [Pages No:183 - 188]

   DOI: 10.5005/ijsm-1-4-183  |  Open Access |  How to cite  | 



Optimizing CPAP

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:7] [Pages No:189 - 195]

   DOI: 10.5005/ijsm-1-4-189  |  Open Access |  How to cite  | 



Surgical options in OSA

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:1] [Pages No:196 - 196]

   DOI: 10.5005/ijsm-1-4-196  |  Open Access |  How to cite  | 



M.K. Sen, J. C. Suri, U.C. Ojha

Acceptance and Compliance issues of nasal CPAP amongst Indian patients of obstructive sleep apnea

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:7] [Pages No:197 - 203]

Keywords: nasal continuous positive airway pressure therapy, compliance, obstructive sleep apnea, adherence, acceptance

   DOI: 10.5005/ijsm-1-4-197  |  Open Access |  How to cite  | 


Three hundred patients of obstructive sleep apnea were selected for this study. Subjective (questionnaire-based) and objective (usage-profile report based) assessments of usage of nasal CPAP in this population were carried out. Several factors responsible for non acceptance and poor compliance were identified, which included causes related to social, economic, cultural and geographical parameters peculiar to our country. In conclusion, some remedial measures are suggested.



BNBM Prasad, AK Rajput, RK Dhiman, B Jayan, R Bhattacharrya, PS Thampi

Management of Obstructive Sleep Apnea with Oral Appliances: Our Experience

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:4] [Pages No:204 - 207]

   DOI: 10.5005/ijsm-1-4-204  |  Open Access |  How to cite  | 


Back ground : Obstructive sleep apnea results from any condition or disease that causes partial or complete obstruction of the air way when the patient assumes a supine position and goes to sleep. Oral appliances are viable options for treating patients with sleep disordered breathing. Patient and methods: Oral appliances used in our series which included 19 patients were tongue retaining device (TRD), acrylic Herbst splint appliance and Karwetzky activator. Polysomnography was done on 10 cases with oral appliances. All cases were evaluated on Epworth Sleepiness Scale. Results: 8 (80%) patients showed significant reduction in AHI in addition to reduction / cessation of snoring and improvement on Epworth Sleepiness Scale. In one of the cases AHI increased and in another case AHI remained almost same but Sa O2%decreased. In both these cases, oral appliances were withdrawn. In the other 9 cases who had not yet been subjected to PSG, after insertion of oral appliance 7 of the patients reported significant reduction / cessation of snoring and improvement on Epworth Sleepiness Scale. Karwetzky activator was found to be more patient friendly than other appliances used in the study. Conclusion: Oral appliances therapy for OSA is non invasive, cost effective and beneficial to affected patients if desired efficacy is achieved. It greatly improves quality of life and cardio pulmonary health. We have observed short term therapeutic efficacy of oral appliances both clinically and by PSG studies..



Manvir Bhatia, K Prasad, R N Pande

Hindi Version of Epworth Sleepiness Scale: A Validity Study

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:208 - 210]

Keywords: Epworth Sleepiness Scale, Excessive Daytime Sleepiness, Validity.

   DOI: 10.5005/ijsm-1-4-208  |  Open Access |  How to cite  | 


Introduction: Excessive daytime sleepiness (EDS), an important symptom of several chronic sleep disorders, can be evaluated with subjective and objective measures. Epworth Sleepiness Scale (ESS) a subjective measure of EDS, has been used in many countries after translation into local language. The present study aimed to translate it into Hindi and validate it for use in Hindi speaking population in India. Method: The ESS was translated into Hindi with minor modifications. The original and modified versions were administered to 42 subjects, 21 were normal healthy controls and 21 patients with sleep disorders. The ESS 1 and ESS 2 were compared in both groups using Spearman's correlation. Results: The ESS 1 and ESS 2 had very good correlation in each group (p <0.001). Though there were minor differences in response to certain questions, the ESS total score did not change significantly. Conclusion: The modified, Hindi version of ESS was found to be reliable and valid. This can be used to evaluate sleepiness in Hindi speaking population of our country.



D Gothi, Aniket Gangurde, J M Joshi

Sleep Apnoea in Postaxial Acrofacial Dysostosis (Miller) Syndrome

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:3] [Pages No:211 - 213]

Keywords: Acrofacial dysostosis, Sleep disordered breathing, Temporomandibular joint ankylosis.ecessary intervention should be done at the earliest to remove the causative factor.

   DOI: 10.5005/ijsm-1-4-211  |  Open Access |  How to cite  | 


We report a 13-year-old girl with postaxial acrofacial dysostosis (POADS) also called Miller Syndrome with sleep disordered breathing due to bilateral temporomandibular joint (TMJ) ankylosis and micrognathia/retrognathia, which was effectively treated with surgical correction.



Rajeev Srivastava, Sunil Sharma, Kyle Iverson

Journal review corner - January 2007

[Year:2006] [Month:October-December] [Volume:1] [Number:4] [Pages:2] [Pages No:214 - 215]

   DOI: 10.5005/ijsm-1-4-214  |  Open Access |  How to cite  | 


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