Determinants of treatment outcome after use of the mandibular advancement device in patients with obstructive sleep apnea

Archives of Otolaryngology--head & Neck Surgery
Chul Hee LeeJi-Hun Mo

Abstract

To determine the predictors affecting treatment outcome after application of the mandibular advancement device (MAD). Retrospective analysis. Tertiary care university hospital. A total of 76 patients (68 men and 8 women) who were treated with the MAD for obstructive sleep apnea (OSA) were included from September 2005 through August 2008. All the subjects underwent cephalometry, nocturnal polysomnography, and sleep videofluoroscopy (SVF) before and at least 3 months after receipt of a custom-made MAD. Sleep videofluoroscopy was performed before and after sleep induction and was analyzed during 3 states of awakeness, normoxygenation sleep, and desaturation sleep. Subjects were divided into success and nonsuccess groups depending on treatment outcome. Multiple variables from cephalometry and SVF including the length of the soft palate, retropalatal space, retrolingual space, and mouth opening angle were evaluated during sleep events with or without the MAD between success and nonsuccess group. The soft palate was significantly longer in the nonsuccess group than in the success group. The retropalatal and retrolingual airway spaces and mouth opening angle were not different between 2 groups. Application of the MAD increased the ret...Continue Reading

Citations

Oct 16, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Ji-Eun LeeJeong-Whun Kim
Jan 17, 2016·Sleep Medicine Reviews·Kentaro OkunoFernanda R Almeida
Jan 17, 2015·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·G BettegaUNKNOWN groupe de pilotage
May 11, 2016·Revue des maladies respiratoires·G BettegaUNKNOWN Pour le groupe de pilotage
Jun 8, 2017·Brazilian Oral Research·Thays Crosara Abrahão CunhaLia Rita Azeredo Bittencourt
Nov 21, 2017·The Laryngoscope·Enrique Fernández-JuliánJaime Marco
Nov 9, 2017·Cranio : the Journal of Craniomandibular Practice·Geun-Shin LeeMee-Eun Kim
Dec 12, 2013·Progress in Orthodontics·Andressa Otranto de Britto TeixeiraMarco Antonio de Oliveira Almeida
Dec 4, 2012·Clinical and Experimental Otorhinolaryngology·Woong Sang SunwooChae-Seo Rhee
Mar 6, 2015·Expert Review of Respiratory Medicine·Christine Won, Christian Guilleminault
Apr 22, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Rocío Marco PitarchAntonio Fons Font
May 26, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hong Joong KimJeong-Whun Kim
Dec 24, 2018·Sleep & Breathing = Schlaf & Atmung·Marie-Françoise VecchieriniAlain Verain

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.