Cargando…
Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome
Background: Mandibular Advancement Devices (MADs), inserted in non-surgical treatments for obstructive sleep apnea and hypopnea syndrome (OSAHS), are used intra-orally during the sleep period, with the aim of promoting mandibular protrusion. The aim of the study is to analyze the changes in the uppe...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224702/ https://www.ncbi.nlm.nih.gov/pubmed/35743866 http://dx.doi.org/10.3390/life12060835 |
_version_ | 1784733432930107392 |
---|---|
author | Ferraz, Pedro Dias Francisco, Inês Borges, Maria Inês Guimarães, Adriana Carvalho, Fátima Caramelo, Francisco Figueiredo, José Pedro Vale, Francisco |
author_facet | Ferraz, Pedro Dias Francisco, Inês Borges, Maria Inês Guimarães, Adriana Carvalho, Fátima Caramelo, Francisco Figueiredo, José Pedro Vale, Francisco |
author_sort | Ferraz, Pedro Dias |
collection | PubMed |
description | Background: Mandibular Advancement Devices (MADs), inserted in non-surgical treatments for obstructive sleep apnea and hypopnea syndrome (OSAHS), are used intra-orally during the sleep period, with the aim of promoting mandibular protrusion. The aim of the study is to analyze the changes in the upper airway after the use of an MAD in the treatment of OSAHS. Methods: 60 patients diagnosed with OSAHS, as established by the Sleep Medicine Service, underwent treatment with the Silensor SL device at the Stomatology Service of the University Hospital Center of Coimbra, from January 2018 to January 2019. All patients completed two polysomnographies and two lateral teleradiographies: one before starting treatment (T0) and one after 1 year of treatment (T1). In the lateral teleradiography performed after one year of treatment, the patient had the MAD placed intra-orally. The linear measurements of the airspace proposed by the Arnett/Gunson FAB Surgery cephalometric analysis were measured at four craniometric points: A, MCI, B, Pog. Results: The results demonstrate an anteroposterior airway enlargement in two of the four points studied with the MAD placed intra-orally (B and Pog point). The greatest average increase is observed at point Pog (3 mm), followed by B (1 mm), and finally, point A (0.6 mm). Conclusions: This study proved that there is an improvement in anteroposterior measurements at various points in the upper airways after treatment with MAD. |
format | Online Article Text |
id | pubmed-9224702 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92247022022-06-24 Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome Ferraz, Pedro Dias Francisco, Inês Borges, Maria Inês Guimarães, Adriana Carvalho, Fátima Caramelo, Francisco Figueiredo, José Pedro Vale, Francisco Life (Basel) Article Background: Mandibular Advancement Devices (MADs), inserted in non-surgical treatments for obstructive sleep apnea and hypopnea syndrome (OSAHS), are used intra-orally during the sleep period, with the aim of promoting mandibular protrusion. The aim of the study is to analyze the changes in the upper airway after the use of an MAD in the treatment of OSAHS. Methods: 60 patients diagnosed with OSAHS, as established by the Sleep Medicine Service, underwent treatment with the Silensor SL device at the Stomatology Service of the University Hospital Center of Coimbra, from January 2018 to January 2019. All patients completed two polysomnographies and two lateral teleradiographies: one before starting treatment (T0) and one after 1 year of treatment (T1). In the lateral teleradiography performed after one year of treatment, the patient had the MAD placed intra-orally. The linear measurements of the airspace proposed by the Arnett/Gunson FAB Surgery cephalometric analysis were measured at four craniometric points: A, MCI, B, Pog. Results: The results demonstrate an anteroposterior airway enlargement in two of the four points studied with the MAD placed intra-orally (B and Pog point). The greatest average increase is observed at point Pog (3 mm), followed by B (1 mm), and finally, point A (0.6 mm). Conclusions: This study proved that there is an improvement in anteroposterior measurements at various points in the upper airways after treatment with MAD. MDPI 2022-06-02 /pmc/articles/PMC9224702/ /pubmed/35743866 http://dx.doi.org/10.3390/life12060835 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ferraz, Pedro Dias Francisco, Inês Borges, Maria Inês Guimarães, Adriana Carvalho, Fátima Caramelo, Francisco Figueiredo, José Pedro Vale, Francisco Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title | Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title_full | Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title_fullStr | Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title_full_unstemmed | Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title_short | Pharyngeal Airspace Alterations after Using the Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome |
title_sort | pharyngeal airspace alterations after using the mandibular advancement device in the treatment of obstructive sleep apnea syndrome |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224702/ https://www.ncbi.nlm.nih.gov/pubmed/35743866 http://dx.doi.org/10.3390/life12060835 |
work_keys_str_mv | AT ferrazpedrodias pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT franciscoines pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT borgesmariaines pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT guimaraesadriana pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT carvalhofatima pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT caramelofrancisco pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT figueiredojosepedro pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome AT valefrancisco pharyngealairspacealterationsafterusingthemandibularadvancementdeviceinthetreatmentofobstructivesleepapneasyndrome |