Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol
Mandibular advancement devices (MAD) are an effective alternative treatment to CPAP. Different maneuvers were performed during drug sleep-induced endoscopy (DISE) to mimic the effect of MAD. Using the Selector Avance Mandibular (SAM) device, we aimed to identify MAD candidates during DISE using a ti...
| Autores: | , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/119155 |
| Acceso en línea: | https://hdl.handle.net/10171/119155 |
| Access Level: | acceso abierto |
| Palabra clave: | MAD Drug-induced sleep endoscopy Mandibular advancement Patient selection Sleep breathing disorders Titratable positioner |
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Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocolFernández-Sanjuán, P. (Patricia)|||/items/a5eb65bb-7191-4843-b9d3-8a6c1c4d0b9aArrieta, J.J. (Juan José)|||/items/84ed1330-43ec-4873-bdcd-83a6aefd0f99Sanabria, J. (Jaime)|||/items/822eb154-b6c6-4fa2-92c0-652593ba9bafAlcaraz, M. (Marta)|||/items/749aec5e-ba85-46b5-841b-15c08eef95f1Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04Pérez-Chávez, A. (Adriana)|||/items/7eb7ff3e-28f0-4b7b-af84-5d0ae1a0dce1Carrasco-Llatas, M. (Marina)|||/items/e6aebb9c-eac6-4516-8853-2d425c66277fMoreno-Hay, I. (Isabel)|||/items/c240ffab-7e48-43b3-85d2-328c14a9ead8Ríos-Lago, M. (Marcos)|||/items/8733b198-25fc-43f3-8edf-170ccd1fde9dLugo, R. (Rodolfo)|||/items/7ed02dd5-47b3-49a6-bbe8-6ebb30c2a148O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868MADDrug-induced sleep endoscopyMandibular advancementPatient selectionSleep breathing disordersTitratable positionerMandibular advancement devices (MAD) are an effective alternative treatment to CPAP. Different maneuvers were performed during drug sleep-induced endoscopy (DISE) to mimic the effect of MAD. Using the Selector Avance Mandibular (SAM) device, we aimed to identify MAD candidates during DISE using a titratable, reproducible, and measurable maneuver. This DISE-SAM protocol may help to find the relationship between the severity of the respiratory disorder and the degree of response and determine the advancement required to improve the collapsibility of the upper airway. Explorations were performed in 161 patients (132 males; 29 females) with a mean age of 46.81 (SD = 11.42) years, BMI of 27.90 (SD = 4.19) kg/m2, and a mean AHI of 26.51 (SD = 21.23). The results showed no relationship between severity and MAD recommendation. Furthermore, there was a weak positive relationship between the advancement required to obtain a response and the disease severity. Using the DISE-SAM protocol, the response and the range of mandibular protrusion were assessed, avoiding the interexaminer bias of the jaw thrust maneuver. We suggest prescribing MAD as a single, alternative, or multiple treatment approaches following the SAM recommendations in a personalized design.MDPIDadun. Depósito Académico Digital Universidad de Navarra20222022-01-0120222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/119155reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1191552026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| title |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| spellingShingle |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol Fernández-Sanjuán, P. (Patricia)|||/items/a5eb65bb-7191-4843-b9d3-8a6c1c4d0b9a MAD Drug-induced sleep endoscopy Mandibular advancement Patient selection Sleep breathing disorders Titratable positioner |
| title_short |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| title_full |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| title_fullStr |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| title_full_unstemmed |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| title_sort |
Optimizing mandibular advancement maneuvers during sleep endoscopy with a titratable positioner: DISE-SAM protocol |
| dc.creator.none.fl_str_mv |
Fernández-Sanjuán, P. (Patricia)|||/items/a5eb65bb-7191-4843-b9d3-8a6c1c4d0b9a Arrieta, J.J. (Juan José)|||/items/84ed1330-43ec-4873-bdcd-83a6aefd0f99 Sanabria, J. (Jaime)|||/items/822eb154-b6c6-4fa2-92c0-652593ba9baf Alcaraz, M. (Marta)|||/items/749aec5e-ba85-46b5-841b-15c08eef95f1 Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Pérez-Chávez, A. (Adriana)|||/items/7eb7ff3e-28f0-4b7b-af84-5d0ae1a0dce1 Carrasco-Llatas, M. (Marina)|||/items/e6aebb9c-eac6-4516-8853-2d425c66277f Moreno-Hay, I. (Isabel)|||/items/c240ffab-7e48-43b3-85d2-328c14a9ead8 Ríos-Lago, M. (Marcos)|||/items/8733b198-25fc-43f3-8edf-170ccd1fde9d Lugo, R. (Rodolfo)|||/items/7ed02dd5-47b3-49a6-bbe8-6ebb30c2a148 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author |
Fernández-Sanjuán, P. (Patricia)|||/items/a5eb65bb-7191-4843-b9d3-8a6c1c4d0b9a |
| author_facet |
Fernández-Sanjuán, P. (Patricia)|||/items/a5eb65bb-7191-4843-b9d3-8a6c1c4d0b9a Arrieta, J.J. (Juan José)|||/items/84ed1330-43ec-4873-bdcd-83a6aefd0f99 Sanabria, J. (Jaime)|||/items/822eb154-b6c6-4fa2-92c0-652593ba9baf Alcaraz, M. (Marta)|||/items/749aec5e-ba85-46b5-841b-15c08eef95f1 Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Pérez-Chávez, A. (Adriana)|||/items/7eb7ff3e-28f0-4b7b-af84-5d0ae1a0dce1 Carrasco-Llatas, M. (Marina)|||/items/e6aebb9c-eac6-4516-8853-2d425c66277f Moreno-Hay, I. (Isabel)|||/items/c240ffab-7e48-43b3-85d2-328c14a9ead8 Ríos-Lago, M. (Marcos)|||/items/8733b198-25fc-43f3-8edf-170ccd1fde9d Lugo, R. (Rodolfo)|||/items/7ed02dd5-47b3-49a6-bbe8-6ebb30c2a148 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author_role |
author |
| author2 |
Arrieta, J.J. (Juan José)|||/items/84ed1330-43ec-4873-bdcd-83a6aefd0f99 Sanabria, J. (Jaime)|||/items/822eb154-b6c6-4fa2-92c0-652593ba9baf Alcaraz, M. (Marta)|||/items/749aec5e-ba85-46b5-841b-15c08eef95f1 Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Pérez-Chávez, A. (Adriana)|||/items/7eb7ff3e-28f0-4b7b-af84-5d0ae1a0dce1 Carrasco-Llatas, M. (Marina)|||/items/e6aebb9c-eac6-4516-8853-2d425c66277f Moreno-Hay, I. (Isabel)|||/items/c240ffab-7e48-43b3-85d2-328c14a9ead8 Ríos-Lago, M. (Marcos)|||/items/8733b198-25fc-43f3-8edf-170ccd1fde9d Lugo, R. (Rodolfo)|||/items/7ed02dd5-47b3-49a6-bbe8-6ebb30c2a148 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
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author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
MAD Drug-induced sleep endoscopy Mandibular advancement Patient selection Sleep breathing disorders Titratable positioner |
| topic |
MAD Drug-induced sleep endoscopy Mandibular advancement Patient selection Sleep breathing disorders Titratable positioner |
| description |
Mandibular advancement devices (MAD) are an effective alternative treatment to CPAP. Different maneuvers were performed during drug sleep-induced endoscopy (DISE) to mimic the effect of MAD. Using the Selector Avance Mandibular (SAM) device, we aimed to identify MAD candidates during DISE using a titratable, reproducible, and measurable maneuver. This DISE-SAM protocol may help to find the relationship between the severity of the respiratory disorder and the degree of response and determine the advancement required to improve the collapsibility of the upper airway. Explorations were performed in 161 patients (132 males; 29 females) with a mean age of 46.81 (SD = 11.42) years, BMI of 27.90 (SD = 4.19) kg/m2, and a mean AHI of 26.51 (SD = 21.23). The results showed no relationship between severity and MAD recommendation. Furthermore, there was a weak positive relationship between the advancement required to obtain a response and the disease severity. Using the DISE-SAM protocol, the response and the range of mandibular protrusion were assessed, avoiding the interexaminer bias of the jaw thrust maneuver. We suggest prescribing MAD as a single, alternative, or multiple treatment approaches following the SAM recommendations in a personalized design. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022-01-01 2022 2022-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/10171/119155 |
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https://hdl.handle.net/10171/119155 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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