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Volume 13 No. 03
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Accepted Papers

Special Articles

Multidisciplinary Alternatives to CPAP Program for CPAP-Intolerant Patients

Anita Valanju Shelgikar, MD, FAASM1; Sharon Aronovich, DMD2; Jeffrey J. Stanley, MD1,3
1Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI; 2Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, MI; 3Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI

Continuous positive airway pressure (CPAP) intolerance remains a persistent problem for many obstructive sleep apnea patients. Clinicians and researchers continue to search for other effective treatment modalities given the well-documented sequelae associated with untreated obstructive sleep apnea.

A multidisciplinary “Alternatives to CPAP program” (ALT) can facilitate systematic evaluation of non-CPAP therapies appropriate for an individual patient. We review successful strategies and barriers encountered during implementation of an ALT at our institution. Creation of similar programs in private practice and academic settings can help medical, dental, and surgical sleep medicine specialists coordinate evaluation and treatment of CPAP-intolerant patients.


Shelgikar AV, Aronovich S, Stanley JJ. Multidisciplinary alternatives to CPAP program for CPAP-intolerant patients. J Clin Sleep Med. 2017;13(3):505–510.

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