The role of masseter muscle EMG during DISE to predict the effectiveness of MAD: preliminary results

被引：3
作者：
Marchese, M. R. [1 ]
Scarano, E. [1 ]
Rizzotto, G. [2 ]
Grippaudo, C. [3 ]
Paludetti, G. [1 ]
机构：
[1] Policlin A Gemelli Fdn, Dept Head & Neck Surg, Otorhinolaryngol, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Dept Neurosci, Rome, Italy
[3] Univ Cattolica Sacro Cuore, Dept Dent Clin, Rome, Italy
来源：
ACTA OTORHINOLARYNGOLOGICA ITALICA | 2016年 / 36卷 / 06期
关键词：
OSAS; Mandibular advancement; Masseter muscle; EMG; OBSTRUCTIVE SLEEP-APNEA; MANDIBULAR ADVANCEMENT DEVICES; ENDOSCOPY; OSAS; TOOL;
D O I：
10.14639/0392-100X-1474
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
The use of a mandibular advancement device (MAD) increases the activity of the temporo-mandibular (TM) complex and masseter (MM) muscles with the risk of reducing treatment compliance. Predictors of treatment outcome are of importance in selecting patients who might benefit from MAD without side effects. The role of mandibular advancement (MA) during drug-induced sleep endoscopy (DISE) is controversial. In three cases (BMI < 30) affected by non-severe OSAS (AHI < 30 e/h), we recorded the surface EMG signal of MM activity during DISE. At follow-up all cases improved the AHI, two cases that showed transient increase of MM activity did not suffer from changes of overjet and did not complain of discomfort with the use of MAD. The case that showed a continuing increase of MM activity reported TM discomfort without changes of dental occlusion. EMG of MM during DISE may contribute to ameliorate the selection of cases amenable to treatment with MAD.
引用
收藏
页码：486 / 489
页数：4
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