A prospective 10-year follow-up polygraphic study of patients treated with a mandibular protruding device
| Autor: | Göran Isacsson, Eva Wiman Eriksson, Lena Leissner, Anette M. C. Fransson |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Neurology medicine.medical_treatment Oral appliance Polysomnography hemic and lymphatic diseases medicine Humans Continuous positive airway pressure Prospective Studies Prospective cohort study Sleep Apnea Obstructive Continuous Positive Airway Pressure business.industry Snoring Apnea Occlusal Splints Middle Aged medicine.disease nervous system diseases respiratory tract diseases Surgery Obstructive sleep apnea Oxygen Otorhinolaryngology Anesthesia Quality of Life Female Neurology (clinical) medicine.symptom business Weight gain Mandibular Advancement Follow-Up Studies |
| Zdroj: | Sleepbreathing = SchlafAtmung. 19(1) |
| ISSN: | 1522-1709 |
| Popis: | This 10-year follow-up prospective study aimed to evaluate the effects of treatment with a mandibular protruding device (MPD) on respiratory parameters and subjective symptoms in patients with obstructive sleep apnea (OSA) or snoring. Seventy-seven consecutive patients diagnosed with OSA or snoring were treated with an MPD. At baseline and the 10-year follow-up, a polygraphic examination and questionnaires on sleep quality were administrated and weight, and neck size was measured. At the 10-year follow-up, we examined 64 of the 77 patients and recorded their current treatment (45 MPD, 9 continuous positive airway pressure (CPAP), and 10 no treatment). For MPD patients, 89 % reported MPD use every night and 9 % several nights a week. Compared to baseline, MPD users with OSA had a significantly decreased oxygen desaturation index (ODI) (p = 0.006) and increased lowest arterial oxygen saturation, SaO2 nadir (p = 0.007) after 10 years. MPD treatment was successful for 70 % of OSA patients, yet 89 % subjectively considered themselves cured, indicating overestimation of the treatment effect. OSA patients who responded to treatment maintained baseline weight and neck size, while these increased for non-responders. Of the baseline snorers still using an MPD, 93 % maintained an ODI value of |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink