Evaluation of factors that influence the success rate of OSA treatment with a customised adjustable MAD device - a retrospective study

被引：12

作者：

Burlon, Giuseppe ^{[1
]}

Tepedino, Michele ^{[2
]}

Laurenziello, Michele ^{[1
]}

Troiano, Giuseppe ^{[1
]}

Cassano, Michele ^{[1
]}

Romano, Luigi ^{[3
]}

Rinaldi, Raffaella ^{[4
]}

Ciavarella, Domenico ^{[1
]}

机构：

[1] Univ Foggia, Dept Clin & Expt Med, Foggia, Italy

[2] Univ LAquila, Dept Biotechnol & Appl Clin Sci, Laquila, Italy

[3] San Bassiano Hosp, Dept Otolaryngol Head & Neck Surg, Bassano Del Grappa, VI, Italy

[4] Sapienza Univ Rome, Dept Anat Istol Forens & Locomotor Syst Sci, Rome, Italy

来源：

ACTA OTORHINOLARYNGOLOGICA ITALICA | 2020年 / 40卷 / 04期

关键词：

obstructive sleep apnoea; OSA; mandibular advancement; sleep parameters; oxygen desaturation index; OBSTRUCTIVE SLEEP-APNEA; MANDIBULAR ADVANCEMENT DEVICE; APPLIANCES; MEN;

D O I：

10.14639/0392-100X-N0307

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The aim of the present study was to evaluate how the features of obstructive sleep apnoea (OSA) and the degree of mandibular advancement influence the outcomes of oral appliance therapy with a fully-customised mandibular advancement device (MAD) in an adult population. A total of 85 adult patients with mild to severe OSA were retrospectively selected. Polysomnography was taken before treatment and after 2 months treatment with overnight MAD. Treatment success was defined as a > 50% reduction in the Apnoea/Hypopnoea Index (AHI) with a residual AHI < 10. Binary logistic regression was used to evaluate the effects of AHI, oxygen desaturation index (ODI), gender and age on the success rate of MAD therapy. MAD therapy was successful in 77.7% of patients, and the ODI was a significant predictor of treatment success. OSA treatment with the MAD was successful in reducing the AM in adult patients. An ODI value smaller than 333 was a significant predictor of treatment success.

引用

页码：297 / 303

页数：7

共 30 条

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