Complex sleep apnea unmasked by the use of a mandibular advancement device
Identifieur interne : 001F04 ( Istex/Corpus ); précédent : 001F03; suivant : 001F05Complex sleep apnea unmasked by the use of a mandibular advancement device
Auteurs : Tomasz J. Ku Niar ; Ružica Kova Evi Ristanovi ; Thomas FreedomSource :
- Sleep and Breathing [ 1520-9512 ] ; 2011-05-01.
Abstract
Abstract: According to most accepted definitions, complex sleep apnea syndrome (CompSAS) is described as an emergence of central apneas in a patient with obstructive sleep apnea (OSA) upon introduction of continuous positive airway pressure therapy (CPAP). We present two patients who developed comparable central apnea activity when treated with either a CPAP device or a mandibular advancement device. As similar findings have been previously documented in patients with OSA treated with maxillofacial surgery or tracheostomy, we propose that the current definition of CompSAS should broaden to include diagnosis of CompSAS in non-PAP-treated patients, who are managed with either a dental appliance or a surgical procedure.
Url:
DOI: 10.1007/s11325-010-0459-8
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We present two patients who developed comparable central apnea activity when treated with either a CPAP device or a mandibular advancement device. As similar findings have been previously documented in patients with OSA treated with maxillofacial surgery or tracheostomy, we propose that the current definition of CompSAS should broaden to include diagnosis of CompSAS in non-PAP-treated patients, who are managed with either a dental appliance or a surgical procedure.</div></front></TEI><istex><corpusName>springer-journals</corpusName><author><json:item><name>Tomasz J. 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As similar findings have been previously documented in patients with OSA treated with maxillofacial surgery or tracheostomy, we propose that the current definition of CompSAS should broaden to include diagnosis of CompSAS in non-PAP-treated patients, who are managed with either a dental appliance or a surgical procedure.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Otorhinolaryngology</term></item><item><term>Dentistry</term></item><item><term>Pediatrics</term></item><item><term>Neurology</term></item><item><term>Internal Medicine</term></item><item><term>Pneumology/Respiratory System</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-10-05">Created</change><change when="2011-05-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-BGPWLLSD-R/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//Springer-Verlag//DTD A++ V2.4//EN" URI="http://devel.springer.de/A++/V2.4/DTD/A++V2.4.dtd" name="istex:docType"></istex:docType><istex:document><Publisher><PublisherInfo><PublisherName>Springer-Verlag</PublisherName><PublisherLocation>Berlin/Heidelberg</PublisherLocation></PublisherInfo><Journal OutputMedium="All"><JournalInfo JournalProductType="NonStandardArchiveJournal" NumberingStyle="Unnumbered"><JournalID>11325</JournalID><JournalPrintISSN>1520-9512</JournalPrintISSN><JournalElectronicISSN>1522-1709</JournalElectronicISSN><JournalTitle>Sleep and Breathing</JournalTitle><JournalSubTitle>International Journal of the Science and Practice of Sleep Medicine</JournalSubTitle><JournalAbbreviatedTitle>Sleep Breath</JournalAbbreviatedTitle><JournalSubjectGroup><JournalSubject Type="Primary">Medicine & Public Health</JournalSubject><JournalSubject Type="Secondary">Otorhinolaryngology</JournalSubject><JournalSubject Type="Secondary">Dentistry </JournalSubject><JournalSubject Type="Secondary">Pediatrics</JournalSubject><JournalSubject Type="Secondary">Neurology</JournalSubject><JournalSubject Type="Secondary">Internal Medicine</JournalSubject><JournalSubject Type="Secondary">Pneumology/Respiratory System</JournalSubject></JournalSubjectGroup></JournalInfo><Volume OutputMedium="All"><VolumeInfo TocLevels="0" VolumeType="Regular"><VolumeIDStart>15</VolumeIDStart><VolumeIDEnd>15</VolumeIDEnd><VolumeIssueCount>4</VolumeIssueCount></VolumeInfo><Issue IssueType="Regular" OutputMedium="All"><IssueInfo IssueType="Regular" TocLevels="0"><IssueIDStart>2</IssueIDStart><IssueIDEnd>2</IssueIDEnd><IssueTitle Language="En">Dental Special Issue Guest Editor: Fernanda R. 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We present two patients who developed comparable central apnea activity when treated with either a CPAP device or a mandibular advancement device. As similar findings have been previously documented in patients with OSA treated with maxillofacial surgery or tracheostomy, we propose that the current definition of CompSAS should broaden to include diagnosis of CompSAS in non-PAP-treated patients, who are managed with either a dental appliance or a surgical procedure.</Para></Abstract></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Complex sleep apnea unmasked by the use of a mandibular advancement device</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Complex sleep apnea unmasked by the use of a mandibular advancement device</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Tomasz</namePart><namePart type="given">J.</namePart><namePart type="family">Kuźniar</namePart><affiliation>Division of Pulmonary and Critical Care Medicine, NorthShore University HealthSystem, 2650 Ridge Ave, 60201, Evanston, IL, USA</affiliation><affiliation>Sleep Disorders Center, NorthShore University HealthSystem, 60201, Evanston, IL, USA</affiliation><affiliation>E-mail: tkuzniar@northshore.org</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ružica</namePart><namePart type="family">Kovačević-Ristanović</namePart><affiliation>Sleep Disorders Center, NorthShore University HealthSystem, 60201, Evanston, IL, USA</affiliation><affiliation>Department of Neurology, NorthShore University HealthSystem, 60201, Evanston, IL, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thomas</namePart><namePart type="family">Freedom</namePart><affiliation>Sleep Disorders Center, NorthShore University HealthSystem, 60201, Evanston, IL, USA</affiliation><affiliation>Department of Neurology, NorthShore University HealthSystem, 60201, Evanston, IL, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateCreated encoding="w3cdtf">2010-10-05</dateCreated><dateIssued encoding="w3cdtf">2011-05-01</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: According to most accepted definitions, complex sleep apnea syndrome (CompSAS) is described as an emergence of central apneas in a patient with obstructive sleep apnea (OSA) upon introduction of continuous positive airway pressure therapy (CPAP). We present two patients who developed comparable central apnea activity when treated with either a CPAP device or a mandibular advancement device. As similar findings have been previously documented in patients with OSA treated with maxillofacial surgery or tracheostomy, we propose that the current definition of CompSAS should broaden to include diagnosis of CompSAS in non-PAP-treated patients, who are managed with either a dental appliance or a surgical procedure.</abstract><note>Case Report</note><relatedItem type="host"><titleInfo><title>Sleep and Breathing</title><subTitle>International Journal of the Science and Practice of Sleep Medicine</subTitle></titleInfo><titleInfo type="abbreviated"><title>Sleep Breath</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2011-05-24</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Otorhinolaryngology</topic><topic>Dentistry</topic><topic>Pediatrics</topic><topic>Neurology</topic><topic>Internal Medicine</topic><topic>Pneumology/Respiratory System</topic></subject><identifier type="ISSN">1520-9512</identifier><identifier type="eISSN">1522-1709</identifier><identifier type="JournalID">11325</identifier><identifier type="IssueArticleCount">17</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>2011</date><detail type="issue"><title>Dental Special Issue Guest Editor: Fernanda R. 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