Condylar Position in the Treatment of Obstructive Sleep Apnea with a Mandibular Advancement Device: A Pilot Study.

IF 1 Q4 CLINICAL NEUROLOGY

Sleep Science Pub Date : 2023-11-22 eCollection Date: 2023-12-01 DOI:10.1055/s-0043-1776870

Marcela Gurgel, Lucio Kurita, Cristiane Fonteles, Thyciana Ribeiro, Fabio Costa, Benedito Freitas, Veralice Bruin, Lucia Cevidanes, Cauby Chaves-Junior

{"title":"Condylar Position in the Treatment of Obstructive Sleep Apnea with a Mandibular Advancement Device: A Pilot Study.","authors":"Marcela Gurgel, Lucio Kurita, Cristiane Fonteles, Thyciana Ribeiro, Fabio Costa, Benedito Freitas, Veralice Bruin, Lucia Cevidanes, Cauby Chaves-Junior","doi":"10.1055/s-0043-1776870","DOIUrl":null,"url":null,"abstract":"Objective To evaluate, through a tomographic analysis, the positional changes of the condyle when using a mandibular advancement device (MAD) for the treatment of obstructive sleep apnea (OSA), and to assess if the condylar positions influence OSA polysomnographic patterns. Materials and Methods Ten OSA patients underwent treatment with an MAD, and polysomnographic and tomographic examinations were performed before therapy (T0) and after MAD placement (T1). Results By comparing the T0 and T1 measurements, we observed advancement and extrusion of the condyles in all patients ( p < 0.001), as well as a decrease in the apnea-hypopnea index (AHI) ( p < 0.001), increases in the mean ( p = 0.001) and minimum ( p < 0.001) oxyhemoglobin saturation, and a significant correlation between the anterior displacement of the right ( p = 0.003) and left ( p = 0.015) condyles. Discussion Condylar advancement was directly correlated with OSA improvement: the greater the advancement, the better the AHI.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e381-e388"},"PeriodicalIF":1.0000,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773499/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0043-1776870","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To evaluate, through a tomographic analysis, the positional changes of the condyle when using a mandibular advancement device (MAD) for the treatment of obstructive sleep apnea (OSA), and to assess if the condylar positions influence OSA polysomnographic patterns. Materials and Methods Ten OSA patients underwent treatment with an MAD, and polysomnographic and tomographic examinations were performed before therapy (T0) and after MAD placement (T1). Results By comparing the T0 and T1 measurements, we observed advancement and extrusion of the condyles in all patients ( p < 0.001), as well as a decrease in the apnea-hypopnea index (AHI) ( p < 0.001), increases in the mean ( p = 0.001) and minimum ( p < 0.001) oxyhemoglobin saturation, and a significant correlation between the anterior displacement of the right ( p = 0.003) and left ( p = 0.015) condyles. Discussion Condylar advancement was directly correlated with OSA improvement: the greater the advancement, the better the AHI.

查看原文本刊更多论文

使用下颌前突装置治疗阻塞性睡眠呼吸暂停时的髁突位置：试点研究。

目的通过断层扫描分析评估使用下颌前突装置（MAD）治疗阻塞性睡眠呼吸暂停（OSA）时髁突位置的变化，并评估髁突位置是否会影响 OSA 多导睡眠图模式。材料与方法 10 名 OSA 患者接受了 MAD 治疗，并在治疗前（T0）和安装 MAD 后（T1）进行了多导睡眠图和断层扫描检查。结果通过比较 T0 和 T1 的测量结果，我们观察到所有患者的髁突均有前移和挤压（P P = 0.001），最小髁突（P P = 0.003）和左侧髁突（P = 0.015）均有前移和挤压。讨论髁突前移与 OSA 改善直接相关：前移越大，AHI 越好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Sleep Science CLINICAL NEUROLOGY-

CiteScore

2.50

自引率

12.50%

发文量

124

审稿时长

10 weeks