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A prospective 10-ye...
A prospective 10-year follow-up polygraphic study of patients treated with a mandibular protruding device
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- Eriksson, Eva Wiman (författare)
- Dept Dent Sleep Med, Postgrad Dent Educ Ctr, Region Örebro County, Örebro, Sweden
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- Leissner, Lena (författare)
- Sleep Unit, Dept Neurol, Örebro University Hospital, Örebro, Sweden
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- Isacsson, Göran (författare)
- Dept Orofacial Pain, Västmanland Cty Hosp, Västerås, Sweden
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- Fransson, Anette (författare)
- Region Örebro län,Dept Orthodont, Postgrad Dent Educ Ctr, , Region Örebro County, Örebro, Sweden; Dent Sleep Med Clin, Postgrad Dent Educ Ctr, Region Örebro County, Örebro, Sweden
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(creator_code:org_t)
- 2014-07-18
- 2015
- Engelska.
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Ingår i: Sleep and Breathing. - : Springer Science and Business Media LLC. - 1520-9512 .- 1522-1709. ; 19:1, s. 393-401
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- This 10-year follow-up prospective study aimed to evaluate the effects of treatment with a mandibular protruding device (MPD) on respiratory parameters and subjective symptoms in patients with obstructive sleep apnea (OSA) or snoring. Seventy-seven consecutive patients diagnosed with OSA or snoring were treated with an MPD. At baseline and the 10-year follow-up, a polygraphic examination and questionnaires on sleep quality were administrated and weight, and neck size was measured. At the 10-year follow-up, we examined 64 of the 77 patients and recorded their current treatment (45 MPD, 9 continuous positive airway pressure (CPAP), and 10 no treatment). For MPD patients, 89 % reported MPD use every night and 9 % several nights a week. Compared to baseline, MPD users with OSA had a significantly decreased oxygen desaturation index (ODI) (p = 0.006) and increased lowest arterial oxygen saturation, SaO(2) nadir (p = 0.007) after 10 years. MPD treatment was successful for 70 % of OSA patients, yet 89 % subjectively considered themselves cured, indicating overestimation of the treatment effect. OSA patients who responded to treatment maintained baseline weight and neck size, while these increased for non-responders. Of the baseline snorers still using an MPD, 93 % maintained an ODI value of < 5. All CPAP users had an ODI value of < 5. Both OSA and snorers using an MPD had significantly fewer self- and relative reports of snoring, apnea, daytime tiredness, and poor night sleep quality (p < 0.001). MPD treatment is well tolerated and effective in a long-term, 10-year perspective. Weight gain may jeopardize MPD effects. Both patients and relatives reported significantly less snoring and fewer periods of apnea.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
Nyckelord
- Obstructive sleep apnea
- Snoring
- Oral appliance
- Mandibular advancement device
- Polygraphy
- Questionnaire
- Prospective
- Long-term follow-up
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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