Severe obstructive sleep apnea treatment with mandibular advancement device: A case report

Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to repo...

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Detalles Bibliográficos
Autores principales: Guimarães, Maria de Lourdes Rabelo, Hermont, Ana Paula, Guimarães, Thais Moura, Dal-Fabbro, Cibele, Bittencourt, Lia, Chaves Junior, Cauby Maia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Brazilian Association of Sleep and Latin American Federation of Sleep 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056071/
https://www.ncbi.nlm.nih.gov/pubmed/30083300
http://dx.doi.org/10.5935/1984-0063.20180022
Descripción
Sumario:Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to report a case using a MAD in a CPAP-intolerant patient suffering from severe OSA. Polysomnography exams were performed before and after treatment. Five months after fitting and titrating the MAD, the AHI was reduced from 80.5 events/hour to 14.6 events/hour and the minimum oxyhemoglobin saturation (SpO(2)) increased from 46% to 83%. A two-year assessment of therapy revealed an AHI of 8 events/hour and SpO(2) of 85%.

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