Endoscopy evaluation to predict oral appliance outcomes in obstructive sleep apnoea
| Autor: | Takayoshi Sakai, C. Frank Ryan, Kanji Nohara, Kentaro Okuno, Fernanda R. Almeida, Alan A. Lowe, Benjamin T. Pliska, Yasuhiro Sasao |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Supine position Polysomnography Oral appliance Mandible Patient Positioning 03 medical and health sciences 0302 clinical medicine Interquartile range Nasoendoscopy medicine Humans Prospective Studies Prospective cohort study Aged Sleep Apnea Obstructive medicine.diagnostic_test business.industry Sleep apnea Endoscopy Equipment Design Middle Aged medicine.disease Cross-Sectional Studies Treatment Outcome 030228 respiratory system Anesthesia Pharynx Regression Analysis Female business Airway Mandibular Advancement 030217 neurology & neurosurgery |
| Zdroj: | European Respiratory Journal. 47:1410-1419 |
| ISSN: | 1399-3003 0903-1936 |
| Popis: | The objective of this study was to determine the utility of nasoendoscopy of the upper airway as a predictor of the efficacy of oral appliance treatment in obstructive sleep apnoea (OSA).A total of 61 consecutive patients with moderate-to-severe polysomnographically diagnosed OSA were recruited for this study. Using nasoendoscopy, we prospectively assessed the velopharynx and oro/hypopharynx in each patient while awake and in the supine position. We measured cross-sectional area (CSA), and anteroposterior and lateral diameters of the airway before and after mandibular advancement, and expressed the changes in dimensions as expansion ratios (after/before). We then compared the measurements of responders and nonresponders with oral appliance treatment.The expansion ratio (median (interquartile range)) for the CSA was greater in responders compared with nonresponders in the velopharynx (2.9 (2.3–5.0)versus1.7 (1.5–1.9), pversus2.4 (1.8–3.7), pThese results indicate that nasoendoscopy may have significant clinical utility in predicting the success of oral appliance treatment. |
| Databáze: | OpenAIRE |
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