Sleep nasendoscopy as a predictor of treatment success in snorers using mandibular advancement splints
Sleep nasendoscopy as a predictor of treatment success in snorers using mandibular advancement splints
复制标题
DOI：
10.1258/0022215053419916
复制
发表时间：
2005-02-01
影响因子：
1.7
通讯作者：
Kotecha, BT
中科院分区：
文献类型：
--
作者：
Battagel, JM;Johal, A;Kotecha, BT
本研究评估了在睡眠鼻内窥镜检查过程中模仿下颌前移夹板的作用对上气道的影响。27例被诊断为睡眠呼吸障碍的受试者在睡眠鼻内窥镜检查后接受下颌前移夹板治疗。睡眠鼻内窥镜检查是重复的所有科目，和没有，该设备在原位。对19名患有严重阻塞性睡眠呼吸暂停的患者进行了下颌前移夹板原位随访睡眠研究，除1名患者外，所有患者的主观打鼾水平和气道通畅性均得到改善。残留腭扑预测为5个科目，发生在8个人。随访睡眠研究显示，中位呼吸暂停-呼吸不足指数显著降低（从28.1降至6.1，p < 0.001）。在睡眠鼻内窥镜检查中模仿下颌前移夹板的作用，对选择此类治疗的患者有很大帮助。
This study assessed the effect on the upper airway during sleep nasendoscopy of mimicking the action of a mandibular advancement splint. Twenty-seven subjects with a diagnosis of sleep-disordered breathing were referred for mandibular advancement splint therapy following sleep nasendoscopy. Sleep nasendoscopy was repeated for all subjects with, and without, the appliance in situ. Follow-up sleep studies with a mandibular advancement splint in situ were undertaken for 19 individuals with significant obstructive sleep apnoea.With the mandibular advancement splint, subjective snoring levels and airway patency improved as predicted in all but one individual. Residual palatal flutter was predicted for five subjects and occurred in eight individuals. Follow-up sleep studies showed highly statistically significant reductions in median apnoea-hypopnoea index (from 28.1 to 6.1, p < 0.001).Mimicking the action of a mandibular advancement splint during sleep nasendoscopy helps considerably in the patient selection process for this form of treatment.