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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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
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author Guimarães, Maria de Lourdes Rabelo
Hermont, Ana Paula
Guimarães, Thais Moura
Dal-Fabbro, Cibele
Bittencourt, Lia
Chaves Junior, Cauby Maia
author_facet Guimarães, Maria de Lourdes Rabelo
Hermont, Ana Paula
Guimarães, Thais Moura
Dal-Fabbro, Cibele
Bittencourt, Lia
Chaves Junior, Cauby Maia
author_sort Guimarães, Maria de Lourdes Rabelo
collection PubMed
description 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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spelling pubmed-60560712018-08-06 Severe obstructive sleep apnea treatment with mandibular advancement device: A case report Guimarães, Maria de Lourdes Rabelo Hermont, Ana Paula Guimarães, Thais Moura Dal-Fabbro, Cibele Bittencourt, Lia Chaves Junior, Cauby Maia Sleep Sci 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 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%. Brazilian Association of Sleep and Latin American Federation of Sleep 2018 /pmc/articles/PMC6056071/ /pubmed/30083300 http://dx.doi.org/10.5935/1984-0063.20180022 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Guimarães, Maria de Lourdes Rabelo
Hermont, Ana Paula
Guimarães, Thais Moura
Dal-Fabbro, Cibele
Bittencourt, Lia
Chaves Junior, Cauby Maia
Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title_full Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title_fullStr Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title_full_unstemmed Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title_short Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
title_sort severe obstructive sleep apnea treatment with mandibular advancement device: a case report
topic Case Report
url 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
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