Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders
Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders
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DOI：
10.1017/s0022215106003203
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发表时间：
2007-07-01
影响因子：
1.7
通讯作者：
Kotecha, B. T.
中科院分区：
文献类型：
--
作者：
Johal, A.;Hector, M. P.;Kotecha, B. T.
目的：评价睡眠鼻内窥镜阳性同时下颌前移对120例睡眠呼吸障碍患者下颌前移夹板治疗效果的影响。对阻塞性睡眠呼吸暂停患者进行了就地应用该矫治器的追踪睡眠研究。主观结果测量评估日间嗜睡和鼾声。结果：107名(%)受试者完成研究。随访的睡眠研究证实了治疗的有效性，患者显示平均呼吸暂停/低呼吸指数(从18.9降至4.9p；0.001)、爱普沃斯嗜睡量表评分(从11降至7，p；0.001)和伴侣记录的鼾声评分(从14降至8，p&t；0.001)。结论：睡眠鼻内窥镜配合下颌前移模拟治疗效果，对判断成功的下颌前倾夹板治疗有预后价值。
Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders.Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring.Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p < 0.001), Epworth sleepiness scale scores (from 11 to seven, p < 0.001) and partner-recorded snoring scores (from 14 to eight, p < 0.001).Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.