L' Orthodontie francaise最新文献

[Agenesis]. 发育不全。

L' Orthodontie francaise Pub Date : 2020-02-02 DOI: 10.32388/b64v03

Y. Samama

引用次数: 0

[Obstructive sleep-disordered breathing and orthodontics. An interview with Christian Guilleminault, Mich�le Hervy-Auboiron, Yu-Shu Huang and Kasey Li]. 阻塞性睡眠呼吸障碍和正畸。专访Christian Guilleminault、michele Hervy-Auboiron、Huang Yu-Shu和Kasey Li。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190038

C. Guilleminault, Michele Hervy-Auboiron, Yu-Shu Huang, Kasey K. Li, P. Amat

引用次数: 0

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190034

L. Coutier, P. Franco

{"title":"[Sleep-related breathing disorders in children and teenagers: diagnosis, consequences and comorbidities].","authors":"L. Coutier, P. Franco","doi":"10.1684/orthodfr.2019.190034","DOIUrl":"https://doi.org/10.1684/orthodfr.2019.190034","url":null,"abstract":"Obstructive sleep apnoea syndrome (OSAS) is a frequent sleep-related breathing disorder in children with a prevalence of approximately 3% between the ages of 3 and 8. Its origin is multifactorial (hypertrophy of pharyngeal soft tissues, narrowing of the bone airways, damage to the neuromuscular tone). The symptoms and clinical signs to look for during the day and at night are directly related to upper airway (UA) obstruction or poor sleep quality. After a complete anamnestic and clinical evaluation, including nasofibroscopy, the ENT specialist will refer to an adeno-amygdalectomy or night recording by polysomnography or polygraph to confirm the diagnosis in the child. Among adolescents, the prevalence of OSAS is reported to be between 0.5 and 6%. The main risk factors are obesity, male sex and a history of tonsillectomy. In addition to the classic symptoms of childhood OSAS, this syndrome may, in adolescents, manifest itself as a misleading semiology of dyssomnia, excessive daytime sleepiness and/or mood disorders. Differential diagnoses with risk behaviours, phase delay or narcolepsy should be systematically discussed. It is essential to record breathing during sleep. Even if the obstructive apnea/hypopnea index is low, it must be considered. In both children and adolescents, multidisciplinary management (ENT, orthodontist, maxillofacial physiotherapist, pulmonologist) should be early in order to avoid neurocognitive, behavioural, cardiovascular and metabolic complications. Maxillofacial surgery can be discussed from the age of 15. It is important not to forget to pay attention to the rules of healthy living and sleep as well as the management of obesity.","PeriodicalId":299509,"journal":{"name":"L' Orthodontie francaise","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130032740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Physiopathology of obstructive sleep apnea syndrome]. [阻塞性睡眠呼吸暂停综合征的生理病理]。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190028

H. Khemliche, M. Ouayoun

引用次数: 0

[What prospects for the sleep apnea syndrome and connected health?] [睡眠呼吸暂停综合症和相关健康的前景如何?]］

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190019

I. Jullian-desayes, M. Joyeux-faure, S. Baillieul, R. Guzun, R. Tamisier, J. Pépin

{"title":"[What prospects for the sleep apnea syndrome and connected health?]","authors":"I. Jullian-desayes, M. Joyeux-faure, S. Baillieul, R. Guzun, R. Tamisier, J. Pépin","doi":"10.1684/orthodfr.2019.190019","DOIUrl":"https://doi.org/10.1684/orthodfr.2019.190019","url":null,"abstract":"Connected health is a growing field and can be viewed from different perspectives, particularly in sleep apnea syndrome. The purpose of this review is to show how all these aspects of connected health are already used in the management of sleep apnea syndrome (SAS) and its comorbidities. First, it can give patients a better understanding and a better assessment of their health. It also facilitates their healthcare by allowing them a greater role in their care pathway. For healthcare providers, connected health tools make it possible to set up new procedures for diagnosing and monitoring ambulatory patients, and for the making of joint decisions by health professionals and patients. Finally, for researchers, e-health generates massive amounts of data, thus facilitating the acquisition of knowledge in real life situations and the development of new methodologies for clinical studies that are faster, less expensive and just as reliable. All these considerations are already applicable in the field of sleep apnea, both for proposed treatments and for comorbidities management and for the patient's involvement in his/her care pathway.","PeriodicalId":299509,"journal":{"name":"L' Orthodontie francaise","volume":"65 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115652777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Surgical treatment for obstructive sleep disordered breathing]. 阻塞性睡眠呼吸障碍的外科治疗。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190030

B. Pételle

{"title":"[Surgical treatment for obstructive sleep disordered breathing].","authors":"B. Pételle","doi":"10.1684/orthodfr.2019.190030","DOIUrl":"https://doi.org/10.1684/orthodfr.2019.190030","url":null,"abstract":"The obstructive sleep apnea syndrome is a chronic condition characterized by repeated nocturnal pharyngeal collapse leading to poor-quality sleep and an increased risk of cardiovascular episodes. The classic management by continuous positive-pressure ventilation has its limitations and is not always well tolerated. The treatment alternative comprising an orthotic device is effective in 2/3 of cases, despite the dental limitations and risks inherent in long-term usage. Through a review of the literature, this paper describes the different surgical solutions used to correct obstructive sleep apnea syndrome in adults. The proposed corrections aim to maintain pharyngeal permeability during sleep either by reducing soft tissue volume or by enlarging the facial skeleton or, more recently, by acting on the tone of the pharyngeal dilator muscles. Among these different approaches, the highest success rate was reported for the maxillomandibular advancement procedure. This technique demands rigorous patient selection combined with an appropriate orthodontic work-up and management. Patient selection and the respective benefits and drawbacks of the different approaches are discussed. Indications are reported in the framework of current guidelines.","PeriodicalId":299509,"journal":{"name":"L' Orthodontie francaise","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128639360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[In Memoriam, Professor Christian Guilleminault]. [纪念克里斯蒂安·吉列米诺教授]。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190033

Michele Hervy-Auboiron, Yushi. Huang, N. Huynh, Gilles Lavigne, D. Léger, Kasey K. Li, P. Pirelli, M. Quera Salva

引用次数: 0

[How to train in dental sleep medicine. An interview with Jean-Baptiste Kerbrat and Christine Boehm-Hurez]. 如何接受牙科睡眠医学培训。采访Jean-Baptiste Kerbrat和Christine Boehm-Hurez]。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190025

J. Kerbrat, C. Boehm-Hurez, P. Amat

引用次数: 0

[Orthodontic management of obstructive sleep-disordered respiratory disorders]. [阻塞性睡眠障碍呼吸障碍的正畸治疗]。

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190029

Pascal Garrec, S. Legris, Y. Soyer, B. Vi-Fane, Laurence Jordan

引用次数: 1

[Non-surgical treatment of the sleep related breathing disorders in adults]. 成人睡眠相关呼吸障碍的非手术治疗

L' Orthodontie francaise Pub Date : 2019-12-01 DOI: 10.1684/orthodfr.2019.190032

C. Philippe

{"title":"[Non-surgical treatment of the sleep related breathing disorders in adults].","authors":"C. Philippe","doi":"10.1684/orthodfr.2019.190032","DOIUrl":"https://doi.org/10.1684/orthodfr.2019.190032","url":null,"abstract":"The treatment of obstructive sleep apnoea/hypopnoea syndrome (OSAHS) must allow for the suppression of symptoms and also prevent its immediate and long-term consequences. The evaluation of the effectiveness of treatments is now based on a normal apnea/hypopnea index, a normal oxygen saturation and the disappearance of sleep fragmentation. Clinical and biological follow-up of co-morbidities must be ensured. Compliance with treatment, a major element of success, must be monitored. Continuous Positive Airway Pressure (CPAP) is still the most effective and widely used treatment. However, mandibular advancement orthosis is now recommended as a first-line treatment in moderate forms in the absence of severe cardiovascular comorbidities (CV) and remains a therapeutic alternative in the event of refusal or intolerance to CPAP. Nutritional management in cases of obesity and a physical activity program must be systematically offered. A reduction in nocturnal breathing disorders can also be achieved by using a device in the event of positional OSAHS, or by limiting fluid movements. The contribution of myofunctional therapy is currently being evaluated. Very recently, a study testing the efficiency of pharmacological treatment on the severity of OSAHS and the reactivity of geniogloss appears to be promising. The evaluation of these different treatments and their combination should make it possible to evolve towards a personalised management adapted to each patient.","PeriodicalId":299509,"journal":{"name":"L' Orthodontie francaise","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124377939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0