接受 DISE 治疗的睡眠呼吸暂停患者在下颌前突矫正过程中的肌电图活动与颞下颌紊乱之间是否存在关联？

IF 17.6 1区物理与天体物理 Q1 PHYSICS, MULTIDISCIPLINARY

Nature Physics Pub Date : 2024-11-01 Epub Date: 2022-03-09 DOI:10.1080/08869634.2022.2047511

Anna Alessandri Bonetti, Patrizia Gallenzi

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引用次数: 0

摘要

目的检测药物诱导睡眠内窥镜检查（DISE）期间咀嚼肌的肌反射激活是否可作为阻塞性睡眠呼吸暂停（OSA）患者颞下颌关节紊乱（TMD）的间接标记：方法：前瞻性招募 OSA 患者，在进行 DISE 之前对其进行全面的 TMD 检查，并在咀嚼肌上加装电极。如果肌张力增加至少 50%，则视为肌反射阳性激活：在纳入的 41 名患者中，48.8% 出现肌反射激活。其中 45% 的患者被诊断为 TMD，40% 的患者在触诊咀嚼肌时出现疼痛，15% 的患者在临床检查时未报告疼痛：结论：下颌前突时EMG活动的增加与TMD的存在无关，但它可以作为OSA患者口面部疼痛的间接标志。

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Is there an association between EMG activity and temporomandibular disorders during orthotic mandibular advancement in sleep apnea patients undergoing DISE?

Objective: To detect whether myotatic reflex activation of masticatory muscles during drug-induced sleep endoscopy (DISE) can be an indirect marker for temporomandibular disorder (TMD) in patients suffering from obstructive sleep apnea (OSA).

Methods: OSA patients were prospectively recruited and underwent a complete TMD examination prior to undergoing DISE with the addition of electrodes applied over masticatory muscles. A positive activation of myotatic reflex was considered in case of an increase in muscle tone of at least 50%.

Results: Of the 41 patients included, 48.8% presented activation of myotatic reflex. Of these patients, 45% presented a TMD diagnosis, 40% presented pain at masticatory muscles palpation, and 15% did not report pain during clinical examination.

Conclusion: An increase in EMG activity during mandibular advancement is not associated with TMD presence, but it can be an indirect marker of pain in the orofacial area in OSA patients.

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来源期刊

Nature Physics 物理-物理：综合

CiteScore

30.40

自引率

2.00%

发文量

349

审稿时长

4-8 weeks

期刊介绍： Nature Physics is dedicated to publishing top-tier original research in physics with a fair and rigorous review process. It provides high visibility and access to a broad readership, maintaining high standards in copy editing and production, ensuring rapid publication, and maintaining independence from academic societies and other vested interests. The journal presents two main research paper formats: Letters and Articles. Alongside primary research, Nature Physics serves as a central source for valuable information within the physics community through Review Articles, News & Views, Research Highlights covering crucial developments across the physics literature, Commentaries, Book Reviews, and Correspondence.