Mandibular advancement prosthesis: first-line alternative to surgery in snoring
| Autor: | A. L. Pahor, S. S. Minhas, S. N. Dutt, P. Deakin |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Mandibular Prosthesis First line medicine.medical_treatment Dentistry Pilot Projects Prosthesis Design Prosthesis Patient satisfaction Medicine Humans Patient compliance Retrospective Studies Temporomandibular joint pain business.industry Snoring General Medicine Prostheses and Implants Surgery Treatment Outcome Otorhinolaryngology Treatment modality Patient Satisfaction Physical therapy Patient Compliance Case note business Mandibular Advancement |
| Zdroj: | The Journal of laryngology and otology. 115(7) |
| ISSN: | 0022-2151 |
| Popis: | Mandibular advancement prosthesis (MAP) is infrequently used in the UK at present for snoring. First-line measures include dietary and weight modification for those that require it. Where such measures are unlikely to be useful or have already failed, surgery is sometimes utilized as a second-line treatment modality. We evaluate the use of MAP as an adjunct to first-line measures, with emphasis on efficacy, side-effects and patient compliance. Case notes of 30 snorers were reviewed and followed up with a questionnaire. Despite being useful in alleviating snoring, the prosthesis was poorly tolerated. Side-effects include increased salivation, temporomandibular joint pain, intra-oral and myofacial discomfort. Patients who persevered with the prosthesis found the early side-effects resolved after a few weeks and snoring reduced. MAP can be used in the initial management of snorers but patients need to be educated and encouraged, especially in the first few weeks. |
| Databáze: | OpenAIRE |
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