A novel three-dimensional-printed customized nasal mask for improving CPAP adherence and satisfaction for the treatment of obstructive sleep apnea.

IF 3.5 3区医学 Q1 CLINICAL NEUROLOGY

Journal of Clinical Sleep Medicine Pub Date : 2025-01-01 DOI:10.5664/jcsm.11340

Benjamin K Tong, Peter A Cistulli, Susan Ledger, Andrew S L Chan

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引用次数: 0

Abstract

Study objectives: To evaluate the performance of a novel three-dimensional-printed customized nasal mask on patient satisfaction and adherence to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea.

Methods: Patients prescribed CPAP therapy with suboptimal CPAP adherence using a conventional CPAP mask (< 70% of nights with ≥ 4 hours per night over 4 weeks) were recruited from the sleep investigation unit of a tertiary hospital. Patients underwent a three-dimensional facial mapping procedure to have a novel three-dimensional-printed customized nasal mask fabricated which was trialed for four weeks. CPAP adherence data download of the same period was conducted with their pre-existing conventional mask and customized mask. Questionnaires assessing symptoms of obstructive sleep apnea and mask-related side-effects were administered before and after the trial of the customized mask.

Results: Thirty patients (22 males and 8 females, age 63.3 ± 12.5 years, body mass index 31.7 ± 5.2 kg/m², apnea-hypopnea index 37.3 ± 21.9 events/h [mean ± standard deviation]) were studied. CPAP was used in a greater proportion of nights with the customized mask (85.7 [66.1, 98.2]% vs 63.2 [13.1, 96.8]%, P = .009) compared to the conventional mask. Hourly CPAP usage was higher with the customized mask (3.8 [2.7, 5.8] hours vs 2.4 [0.3, 5.0] hours, P = .016) compared to a conventional mask. Patients preferred the customized mask (P = .008) and reported less mask-related side effects.

Conclusions: The novel three-dimensional-printed customized mask improved CPAP usage in patients with suboptimal CPAP adherence. Customized CPAP masks may be a suitable option for patients experiencing poor CPAP adherence from mask-related side effects.

Clinical trial registration: Registry: ANZCTR; Name: Conventional vs custom made nasal Continuous Positive Airway Pressure (CPAP) mask for treatment of Obstructive Sleep Apnoea: Pilot study A; URL: https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382142; Identifier: ACTRN12621001301853.

Citation: Tong BK, Cistulli PA, Ledger S, Chan ASL. A novel three-dimensional-printed customized nasal mask for improving CPAP adherence and satisfaction for the treatment of obstructive sleep apnea. J Clin Sleep Med. 2025;21(1):9-16.

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新型 3D 打印定制鼻罩可提高 CPAP 的依从性和治疗阻塞性睡眠呼吸暂停的满意度。

研究目的评估新型 3D 打印定制鼻罩对阻塞性睡眠呼吸暂停（OSA）患者持续气道正压（CPAP）治疗的满意度和依从性的影响：方法：使用传统 CPAP 面罩进行 CPAP 治疗的患者，其 CPAP 依从性不佳：研究了 30 名患者（22 名男性和 8 名女性，年龄为 63.3 ± 12.5 岁，体重指数为 31.7 ± 5.2 kg/m2，呼吸暂停-低通气指数为 37.3 ± 21.9 事件/小时[平均值 ± 标准差]）。与传统面罩相比，定制面罩使用 CPAP 的比例更高（85.7 [66.1, 98.2]% 对 63.2 [13.1, 96.8]%，P=0.009）。与传统面罩相比，定制面罩的 CPAP 每小时使用量更高（3.8 [2.7, 5.8] 小时对 2.4 [0.3, 5.0] 小时，P=0.016）。患者更喜欢定制的喉罩（P=0.008），并报告了较少的喉罩相关副作用：结论：新型 3D 打印定制面罩改善了 CPAP 依从性不佳患者的 CPAP 使用情况。临床试验注册：临床试验注册：注册表：临床试验注册：注册表：ANZCTR；标题：传统与定制鼻用连续通气面罩用于治疗阻塞性睡眠呼吸暂停的传统与定制鼻腔持续正压通气（CPAP）面罩：试验研究 A; Identifier：ACTRN12621001301853；网址：https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382142。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Sleep Medicine CLINICAL NEUROLOGY-

CiteScore

6.20

自引率

7.00%

发文量

321

审稿时长

1 months

期刊介绍： Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.