Oral Appliances for Snoring and Obstructive Sleep Apnea

被引：23

作者：

Mickelson, Samuel A. ^{[1
]}

机构：

[1] Atlanta Snoring & Sleep Disorders Inst, Adv Ear Nose & Throat Associates, 960 Johnson Ferry Rd NE,Suite 200, Atlanta, GA 30342 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2020年 / 53卷 / 03期

关键词：

Sleep oral appliance; Mandibular advancement device (MAD); Oral appliance therapy (OAT); Primary snoring; Obstructive sleep apnea syndrome; OSAS; POSITIVE AIRWAY PRESSURE; MANDIBULAR ADVANCEMENT DEVICES; RANDOMIZED CONTROLLED-TRIAL; LONG-TERM COMPLIANCE; BLOOD-PRESSURE; OBJECTIVE MEASUREMENT; NASAL CPAP; THERAPY; EFFICACY; SPLINT;

D O I：

10.1016/j.otc.2020.02.004

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Obstructive sleep apnea is a common condition, caused primarily by narrowing of the nasal and pharyngeal airway, leading to partial or complete airway collapse during sleep. Treatment with positive airway pressure (PAP) is considered first-line therapy, due to an efficacy rate of approximately 95%, yet long-term compliance with PAP is less than 40%. The efficacy of a sleep oral appliance is lower than PAP, yet it may have similar effectiveness. A sleep oral appliance is a reasonable second-line therapy for patients who refuse or fail PAP and may be reasonable first-line therapy.

引用

页码：397 / +

页数：12

共 49 条

[1] Long-Term Follow-Up of a Randomized Controlled Trial of Oral Appliance Therapy in Obstructive Sleep Apnea [J].

Aarab, Ghizlane ;

Lobbezoo, Frank ;

Heymans, Martijn W. ;

Hamburger, Hans L. ;

Naeije, Machiel .

RESPIRATION, 2011, 82 (02) :162-168

[2] Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea [J].

Aarab, Ghizlane ;

Lobbezoo, Frank ;

Hamburger, Hans L. ;

Naeije, Machiel .

CLINICAL ORAL INVESTIGATIONS, 2010, 14 (03) :339-345

[3] Long-Term Effectiveness of Oral Appliance versus CPAP Therapy and the Emerging Importance of Understanding Patient Preferences [J].

Almeida, Fernanda R. ;

Bansback, Nick .

SLEEP, 2013, 36 (09) :1271-1272

[4]

Almeida FR, 2009, J CLIN SLEEP MED, V5, P198

[5] Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance: An observational study [J].

Anandam, Anil ;

Patil, Monali ;

Akinnusi, Morohunfolu ;

Jaoude, Philippe ;

El-Solh, Ali A. .

RESPIROLOGY, 2013, 18 (08) :1184-1190

[6] Effects of treatment with oral appliance on 24-h blood pressure in patients with obstructive sleep apnea and hypertension: a randomized clinical trial [J].

Andren, Ann ;

Hedberg, Par ;

Walker-Engstrom, Marie-Louise ;

Wahlen, Petra ;

Tegelberg, Ake .

SLEEP AND BREATHING, 2013, 17 (02) :705-712

[7] Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome [J].

Blanco J. ;

Zamarrón C. ;

Abeleira Pazos M.T. ;

Lamela C. ;

Suarez Quintanilla D. .

Sleep and Breathing, 2005, 9 (1) :20-25

[8] CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea A Systematic Review and Meta-analysis [J].

Bratton, Daniel J. ;

Gaisl, Thomas ;

Wons, Annette M. ;

Kohler, Malcolm .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (21) :2280-2293

[9] Respiratory Movement of Upper Airway Tissue in Obstructive Sleep Apnea [J].

Brown, Elizabeth C. ;

Cheng, Shaokoon ;

McKenzie, David K. ;

Butler, Jane E. ;

Gandevia, Simon C. ;

Bilston, Lynne E. .

SLEEP, 2013, 36 (07) :1069-1076

[10] The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea [J].

Chan, Andrew S. L. ;

Sutherland, Kate ;

Schwab, Richard J. ;

Zeng, Biao ;

Petocz, Peter ;

Lee, Richard W. W. ;

Darendeliler, M. Ali ;

Cistulli, Peter A. .

THORAX, 2010, 65 (08) :726-732

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