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https://www.readbyqxmd.com/read/27236056/novel-surgical-approaches-for-the-treatment-of-obstructive-sleep-apnea
#1
REVIEW
Ryan J Soose
Novel approaches to upper airway anatomic phenotyping, more reconstructive upper airway surgical techniques, and new implantable hypoglossal neurostimulation technology have very favorable potential to improve symptoms and quality-of-life measures, to reduce obstructive sleep apnea (OSA) disease severity and associated cardiovascular risk, and to serve as an adjunct to continuous positive airway pressure, oral appliances, and other forms of OSA medical therapy. Successful surgical therapy depends critically on accurate diagnosis, skillful knowledge and examination of the upper airway anatomy, proper procedure selection, and proficient technical application...
June 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/26185993/-the-guideline-for-osas-in-children
#2
H J Remmelink
The obstructive sleep apnoea syndrome is a sleep-related disorder characterised by repetitive upper airway obstructions during sleep. In children this sleep-related disorder is associated with medical and developmentrelated disorders such as failure to thrive, cardiovascular complications and neurocognitive problems. Recently, the Dutch multidisciplinary guidelines for diagnosis and treatment of sleep apnoea syndrome in children were developed. In these guidelines adenotonsillectomy is considered to be the first-line treatment...
October 2014: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/26094920/clinical-practice-guideline-for-the-treatment-of-obstructive-sleep-apnea-and-snoring-with-oral-appliance-therapy-an-update-for-2015
#3
REVIEW
Kannan Ramar, Leslie C Dort, Sheri G Katz, Christopher J Lettieri, Christopher G Harrod, Sherene M Thomas, Ronald D Chervin
INTRODUCTION: Since the previous parameter and review paper publication on oral appliances (OAs) in 2006, the relevant scientific literature has grown considerably, particularly in relation to clinical outcomes. The purpose of this new guideline is to replace the previous and update recommendations for the use of OAs in the treatment of obstructive sleep apnea (OSA) and snoring. METHODS: The American Academy of Sleep Medicine (AASM) and American Academy of Dental Sleep Medicine (AADSM) commissioned a seven-member task force...
July 15, 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/25992080/epidemiologic-profile-of-patients-with-snoring-and-obstructive-sleep-apnea-in-a-university-hospital
#4
Felipe Almeida Mendes, Silvio Antonio Monteiro Marone, Bruno Bernardo Duarte, Ana Carolina Parsekian Arenas
Introduction There are several studies on the pathophysiology and prevalence of Obstructive Sleep Apnea Syndrome (OSAS), however, few studies address the epidemiological profile of these patients. Objective The aim of this study is to analyze the epidemiological profile of patients diagnosed with OSAS referred to the Sleep Medicine clinic. Methods Cross-sectional individualized study covering 57 patients who were referred from the general ENT clinic to the Sleep Medicine clinic. Results Classification of OSAS: 16% had primary snoring, 14% mild OSAS, 18% moderate OSAS, and 52% severe OSAS...
April 2014: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/25961623/therapeutic-efficacy-of-a-hybrid-mandibular-advancement-device-in-the-management-of-obstructive-sleep-apnea-assessed-with-acoustic-reflection-technique
#5
S S Agarwal, B Jayan, Sunil Kumar
Obstructive sleep apnea (OSA) is one of the most common forms of sleep-disordered breathing. Various treatment modalities include behavior modification therapy, nasal continuous positive airway pressure (CPAP), oral appliance therapy, and various surgical modalities. Oral appliances are noninvasive and recommended treatment modality for snoring, mild to moderate OSA cases and severe OSA cases when patient is not compliant to CPAP therapy and unwilling for surgery. Acoustic reflection technique (ART) is a relatively new modality for three-dimensional assessment of airway caliber in various clinical situations...
January 2015: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/23873222/rehabilitation-of-patients-with-obstructive-sleep-apnea-syndrome
#6
REVIEW
Sylwia Chwieśko-Minarowska, Łukasz Minarowski, Anna Kuryliszyn-Moskal, Jan Chwieśko, Elżbieta Chyczewska
The current treatment of obstructive sleep apnea syndrome (OSAS) focuses on alleviation of symptoms by increasing airway patency during sleep through positive airway pressure, oral appliances, changes in sleep position, weight loss, or surgical treatment. Continuous positive airway pressure (CPAP) is currently the treatment of choice and prevents upper airway obstruction, resulting in improved sleep architecture and daytime symptoms. Despite proven efficacy, adherence to CPAP treatment is still not efficient...
December 2013: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/23426543/osas-treatment-with-oral-appliance-assessment-of-our-experience-through-the-use-of-a-new-device
#7
COMPARATIVE STUDY
G Gasparini, C Azzuni, F M D Rinaldo, D Cervelli, T M Marianetti, A Sferrazza, S Pelo
BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is defined as repeated episodes of obstruction of the upper airway and oxygen desaturation of the arterial hemoglobin. OSAS is associated with loud snoring, excessive daytime sleepiness, cardiovascular and neurocognitive disease, increase risk of road accidents. AIM: The aim of this study is to evaluate non-surgical therapy for OSAS using a mandibular advancement device (MAD) that provides for lower jaw protrusion and for an adequate vertical opening, that allows for greater airflow...
February 2013: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/23413266/health-outcomes-of-continuous-positive-airway-pressure-versus-oral-appliance-treatment-for-obstructive-sleep-apnea-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Craig L Phillips, Ronald R Grunstein, M Ali Darendeliler, Anastasia S Mihailidou, Vasantha K Srinivasan, Brendon J Yee, Guy B Marks, Peter A Cistulli
RATIONALE: Continuous positive airway pressure (CPAP) and mandibular advancement device (MAD) therapy are commonly used to treat obstructive sleep apnea (OSA). Differences in efficacy and compliance of these treatments are likely to influence improvements in health outcomes. OBJECTIVES: To compare health effects after 1 month of optimal CPAP and MAD therapy in OSA. METHODS: In this randomized crossover trial, we compared the effects of 1 month each of CPAP and MAD treatment on cardiovascular and neurobehavioral outcomes...
April 15, 2013: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/23208337/latest-advances-in-sleep-medicine-obstructive-sleep-apnea
#9
REVIEW
Sibyl Simon, Nancy Collop
This article is a review of the pertinent scientific data regarding obstructive sleep apnea (OSA) as presented in the medical literature. Attention regarding the diagnosis of OSA focused on the debate regarding home testing as compared with in-laboratory polysomnography (PSG), with a surprising result of possibly more cost benefit from PSG. New advances abound in the treatment of OSA, including those directed at preventing pharyngeal collapsibility. Multiple studies reviewed the comparative effects of oral appliances in conjunction with CPAP, with little difference between the two noted, especially for mild OSA...
December 2012: Chest
https://www.readbyqxmd.com/read/23161914/obstructive-sleep-apnoea-in-adults
#10
REVIEW
Zafar Ahmad Usmani, Ching Li Chai-Coetzer, Nick A Antic, R Doug McEvoy
Obstructive sleep apnoea (OSA) is characterised by repetitive closure of the upper airway, repetitive oxygen desaturations and sleep fragmentation. The prevalence of adult OSA is increasing because of a worldwide increase in obesity and the ageing of populations. OSA presents with a variety of symptoms the most prominent of which are snoring and daytime tiredness. Interestingly though, a significant proportion of OSA sufferers report little or no daytime symptoms. OSA has been associated with an increased risk of cardiovascular disease, cognitive abnormalities and mental health problems...
March 2013: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/22594775/microimplant-based-mandibular-advancement-therapy-for-the-treatment-of-snoring-and-obstructive-sleep-apnea-a-prospective-study
#11
Joachim Ngiam, Hee-Moon Kyung
OBJECTIVE: To investigate the efficacy of orthodontic microimplant-based mandibular advancement therapies for the treatment of snoring and obstructive sleep apnea (OSA) in adult patients. MATERIALS AND METHODS: Ten adult OSA patients (seven men, three women; mean age 60.00 ± 9.25 years) were each treated with two mandibular orthodontic microimplants attached to a customized reverse face mask for mandibular advancement. Pretreatment and posttreatment outcome measures of microimplant mobility, apnea-hypopnea index, snoring, respiratory movement, and Epworth sleepiness scores were evaluated after 6 months...
November 2012: Angle Orthodontist
https://www.readbyqxmd.com/read/21424283/cephalometry-and-prediction-of-oral-appliance-treatment-outcome
#12
Andrew Tze Ming Ng, M Ali Darendeliler, Peter Petocz, Peter A Cistulli
RATIONALE: Predicting which patients with obstructive sleep apnea (OSA) will be successfully treated with mandibular advancement splints (MAS) remains elusive. Developing simple daytime measurements and tests to predict treatment outcome would enhance MAS treatment. OBJECTIVE: The purpose of this study was to assess the clinical utility of anthropomorphic measurements and cephalometric X-rays in the prediction of MAS treatment outcome in OSA. METHODS: Anthropomorphic measurements and cephalometric X-rays from 72 OSA patients who had presented to a tertiary referral sleep clinic were analyzed retrospectively...
March 2012: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/21104045/cardiovascular-implications-in-the-treatment-of-obstructive-sleep-apnea
#13
REVIEW
Olivier M Vanderveken, An Boudewyns, Quan Ni, Bhavani Kashyap, Johan Verbraecken, Wilfried De Backer, Paul Van de Heyning
Epidemiological studies provide strong evidence that obstructive sleep apnea (OSA) is associated with cardiovascular complications such as systemic hypertension, congestive heart failure, and atrial fibrillation. Successful OSA treatment with continuous positive airway pressure (CPAP) has resulted in coincident reductions in systemic hypertension, improvements in left ventricular systolic function, and reductions in sympathetic nervous activity. These data suggest that successful treatment of OSA may reduce cardiovascular morbidity in such patients...
February 2011: Journal of Cardiovascular Translational Research
https://www.readbyqxmd.com/read/20722774/oral-appliance-treatment-for-obstructive-sleep-apnoea-patients-with-severe-dental-condition
#14
T Ogawa, T Ito, M V Cardoso, T Kawata, K Sasaki
This clinical report introduces and evaluates the use of a mandibular advancement oral appliance (OA) attached to a denture base for the treatment of obstructive sleep apnoea syndrome (OSAS) in a patient presenting severe dental problems and multiple missing teeth. It concerned a 58-year-old man with moderate OSAS (apnoea index (AI): 15·9 h(-1) ; apnoea hypopnea index (AHI): 21·7 h(-1) ), presenting ten remaining teeth (maxilla: 5, mandible: 5) and important dental and periodontal problems. A treatment OA comprising both maxillary and mandibular parts was fabricated with an acrylic resin base, simulating the structure of a conventional removable partial denture (RPD)...
March 2011: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/17440760/titratable-mandibular-repositioner-appliances-for-obstructive-sleep-apnea-syndrome-are-they-an-option
#15
Marco Antonio Cardoso Machado, Ligia Juliano, Marcel Taga, Luciane Bizari Coin de Carvalho, Lucila Bizari Fernandes do Prado, Gilmar Fernandes do Prado
Mandibular repositioning appliances (tMRAs) designed with a titratable mechanism are effective to treat obstructive sleep apnea syndrome (OSAS) but are not widely used, although many studies have proven their value. The aim of the present study was to evaluate the efficacy of tMRAs in the treatment of OSAS on the criteria of the American Academy of Sleep Medicine (AASM; apnea/hypopnea index [AHI] < 5). Three hundred consecutive patients with a polysomnographic diagnosis of OSAS were referred for treatment with tMRAs between 2000 and 2003...
December 2007: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/17272177/design-of-surface-electrode-array-for-electromyography-in-the-genioglossus-muscle
#16
C M O'Connor, S Langran, M O'Sullivan, P Nolan, M O'Malley
The patency of the upper airway is dependent on the sustained activity of upper airway muscles, in particular the genioglossus (GG) muscles which act to protrude the tongue. Obstructive sleep apnea syndrome (OSAS) is a common and serious disorder in which this mechanism fails, resulting in frequent collapse of the airway during sleep. The properties of the upper airway muscles are therefore of interest in both normal and OSAS subjects, so that their role in the pathogenesis of OSAS can be better understood...
2004: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/15774151/-treatment-of-osas-with-modified-twin-block-advancement-appliances
#17
Pei-zeng Jia, Min-kui Fu, Xiang-long Zeng
OBJECTIVE: To introduce a new modified twin-block advancement appliance and investigate the effects on respiratory variables in patients with OSAS. METHODS: 29 patients with OSAS participated in the study and were fitted with modified twin-block appliances to hold the mandible in an anterior and inferior position. Polysomnography was performed with and without appliance insertion. And questionnaires were used for registration of patients subjective symptoms. Pair-t analysis was used to evaluate the effects of appliances in patients with OSAS...
January 2005: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/14720014/recent-developments-in-the-treatment-of-obstructive-sleep-apnea
#18
REVIEW
Thomas Verse, Wolfgang Pirsig, Boris A Stuck, Karl Hörmann, Joachim T Maurer
Modern sleep medicine has been in existence for only 20 years and therefore has to be regarded as a comparatively recent field of specialization. For this reason it is not surprising that there are numerous new trends and developments concerning the treatment of sleep-related breathing disorders. This review focuses on developments in the treatment of obstructive sleep apnea (OSA) over the last 5 years.The review is based on a Medline bibliographic search using the key words 'treatment', 'obstructive sleep apnea' and 'sleep-related breathing disorders' and covers papers published since 1997, including references in these articles...
2003: American Journal of Respiratory Medicine: Drugs, Devices, and Other Interventions
https://www.readbyqxmd.com/read/12037222/independent-validation-of-the-sleep-apnoea-quality-of-life-index
#19
Y Lacasse, C Godbout, F Sériès
BACKGROUND: Obstructive sleep apnoea (OSA) affects important domains of quality of life which remain unexplored by conventional sleep recordings. The objective of this study was to examine the measurement properties (both discriminative and evaluative) of the Sleep Apnoea Quality of Life Index (SAQLI), a new OSA specific quality of life questionnaire. METHODS: Consecutive patients recently diagnosed with OSA completed a French version of the SAQLI twice over a 3 month period...
June 2002: Thorax
https://www.readbyqxmd.com/read/11699234/sleep-disordered-breathing-a-view-at-the-beginning-of-the-new-millennium
#20
REVIEW
C Guilleminault, S D Quo
Obstructed sleep apnea syndrome and UARS are often missed in clinical practice. The pediatric population presenting with UARS or mild OSAS is the most commonly ignored because the symptoms are insidious. Often, their craniofacial morphology is not as altered as in the adult population because the effects of airway obstruction may not have been fully established. This is, however, the group in which trials aimed at redistributing bone growth and functional readaptations may be attempted. Dentists and orthodontists have the greatest opportunity to see these young individuals and may help identify them and participate in treatment options...
October 2001: Dental Clinics of North America
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