03/17/2026
The truth about smoking & OSA...
Smokers are 2-3x more likely to develop obstructive sleep apnea than non-smokers.
Why? The upper airway edema caused by smoking.
Because of this, smoking needs to be considered when screening for every OSA case. Whether your patient smokes can greatly affect their true diagnosis.
Dr. Mayoor Patel offers some key insights on how to approach cases where the patient is a smoker:
"If a person stops smoking, you can actually get a reverse of the edema, which can take 1-3 months. Wait 3-4 months and then get a follow-up study, and see if there was significant improvement."
This is why patient care isn't linear, and can never be cut & dry. It's not about a perfect system that gets an oral appliance. It's about OUTCOMES.