Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices

Background. The effectiveness of mandibular advancement devices has been solidly demonstrated in the past. They are considered a valid alternative treatment to continuous positive airway pressure for patients with obstructive sleep apnea. Nevertheless, the relationship between polysomnographic param...

Descripción completa

Detalles Bibliográficos
Autores: Camanes-Gonzalvo, S, Marco-Pitarch, R, Plaza-Espin, A, Puertas-Cuesta, J, Agustin-Panadero, R, Fons-Font, A, Fons-Badal, C, Garcia-Selva, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p13300
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/13300
Access Level:acceso abierto
Palabra clave:mandibular advancement device
obstructive sleep apnea syndrome
airway obstruction
sleep disordered breathing
oral appliance
snoring
id ES_1a7e91ecbbb3ef1494c46ab75f1f2eb5
oai_identifier_str oai:fisabio.fundanetsuite.com:p13300
network_acronym_str ES
network_name_str España
repository_id_str
spelling Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement DevicesCamanes-Gonzalvo, SMarco-Pitarch, RPlaza-Espin, APuertas-Cuesta, JAgustin-Panadero, RFons-Font, AFons-Badal, CGarcia-Selva, Mmandibular advancement deviceobstructive sleep apnea syndromeairway obstructionsleep disordered breathingoral appliancesnoringBackground. The effectiveness of mandibular advancement devices has been solidly demonstrated in the past. They are considered a valid alternative treatment to continuous positive airway pressure for patients with obstructive sleep apnea. Nevertheless, the relationship between polysomnographic parameters and the increase in the volume of the upper airway in patients with obstructive sleep apnea syndrome has not been clearly established so far. This study aimed to determine the impact of these oral appliances upon the volume of the airway after the device titration phase and correlate it with the degree of mandibular advancement and the improvement of polysomnographic parameters. Methods. All patients were diagnosed by polysomnography and were treated with a customized, titratable mandibular advancement device. Three-dimensional volumetric measurements were performed using cone beam computed tomography. Results. The present study included 45 patients diagnosed with obstructive sleep apnea hypopnea syndrome (mild in 23 patients, moderate in 11 and severe in 11). Forty-four percent of the patients presented with an apnea hypopnea index < 5/h at the end of treatment. The volume of the upper airway increased an average of 4.3 & PLUSMN; 5.9 cm(3), this represents a percentage increase of 20.9%, which was significantly correlated with an apnea hypopnea index and a minimum oxygen saturation improvement. Conclusions. The mandibular advancement device used was found to be effective in improving polysomnographic parameters. Moreover, the oral appliance was able to significantly increase the tridimensional dimensions of the upper airway. Moreover, this finding was correlated with a reduction in the apnea hypopnea index (p = 0.007) and an increase on minimum oxygen saturation (p = 0.033).MDPI2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/13300Journal of Clinical MedicineISSN: 20770383reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p133002026-06-11T12:45:17Z
dc.title.none.fl_str_mv Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
title Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
spellingShingle Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
Camanes-Gonzalvo, S
mandibular advancement device
obstructive sleep apnea syndrome
airway obstruction
sleep disordered breathing
oral appliance
snoring
title_short Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
title_full Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
title_fullStr Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
title_full_unstemmed Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
title_sort Correlation between Polysomnographic Parameters and Tridimensional Changes in the Upper Airway of Obstructive Sleep Apnea Patients Treated with Mandibular Advancement Devices
dc.creator.none.fl_str_mv Camanes-Gonzalvo, S
Marco-Pitarch, R
Plaza-Espin, A
Puertas-Cuesta, J
Agustin-Panadero, R
Fons-Font, A
Fons-Badal, C
Garcia-Selva, M
author Camanes-Gonzalvo, S
author_facet Camanes-Gonzalvo, S
Marco-Pitarch, R
Plaza-Espin, A
Puertas-Cuesta, J
Agustin-Panadero, R
Fons-Font, A
Fons-Badal, C
Garcia-Selva, M
author_role author
author2 Marco-Pitarch, R
Plaza-Espin, A
Puertas-Cuesta, J
Agustin-Panadero, R
Fons-Font, A
Fons-Badal, C
Garcia-Selva, M
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv mandibular advancement device
obstructive sleep apnea syndrome
airway obstruction
sleep disordered breathing
oral appliance
snoring
topic mandibular advancement device
obstructive sleep apnea syndrome
airway obstruction
sleep disordered breathing
oral appliance
snoring
description Background. The effectiveness of mandibular advancement devices has been solidly demonstrated in the past. They are considered a valid alternative treatment to continuous positive airway pressure for patients with obstructive sleep apnea. Nevertheless, the relationship between polysomnographic parameters and the increase in the volume of the upper airway in patients with obstructive sleep apnea syndrome has not been clearly established so far. This study aimed to determine the impact of these oral appliances upon the volume of the airway after the device titration phase and correlate it with the degree of mandibular advancement and the improvement of polysomnographic parameters. Methods. All patients were diagnosed by polysomnography and were treated with a customized, titratable mandibular advancement device. Three-dimensional volumetric measurements were performed using cone beam computed tomography. Results. The present study included 45 patients diagnosed with obstructive sleep apnea hypopnea syndrome (mild in 23 patients, moderate in 11 and severe in 11). Forty-four percent of the patients presented with an apnea hypopnea index < 5/h at the end of treatment. The volume of the upper airway increased an average of 4.3 & PLUSMN; 5.9 cm(3), this represents a percentage increase of 20.9%, which was significantly correlated with an apnea hypopnea index and a minimum oxygen saturation improvement. Conclusions. The mandibular advancement device used was found to be effective in improving polysomnographic parameters. Moreover, the oral appliance was able to significantly increase the tridimensional dimensions of the upper airway. Moreover, this finding was correlated with a reduction in the apnea hypopnea index (p = 0.007) and an increase on minimum oxygen saturation (p = 0.033).
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/13300
url https://fisabio.portalinvestigacion.com/publicaciones/13300
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Journal of Clinical Medicine
ISSN: 20770383
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869404109521551360
score 15,808905

Similares en LA Referencia