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Use of an individual mandibular advancement device for an?obstructive sleep apnoea patient with facial paralysis: a short‐term follow‐up case report

Identifieur interne : 000A64 ( Istex/Checkpoint ); précédent : 000A63; suivant : 000A65

Use of an individual mandibular advancement device for an?obstructive sleep apnoea patient with facial paralysis: a short‐term follow‐up case report

Auteurs : B. Pi Kin ; C. Sipahi ; M. Köse ; Ö. Karakoç ; H. Evketbeyo Lu ; G. K. Ataç [Turquie]

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RBID : ISTEX:F184DB1B4A05E89A2AA52E2365731818AA207E21

English descriptors

Abstract

Summary  This case report aimed to describe the fabrication procedure and treatment efficacy of an individual, one‐piece, non‐adjustable mandibular advancement device (MAD) for a moderate obstructive sleep apnoea patient with facial paralysis (FP). Mandibular advancement device was fabricated with autopolymerising acrylic resin. The intermaxillary relations were recorded such as to fix the mandible at a protruded position with increased vertical dimension. Initial evaluation of the MAD was made with axial magnetic resonance imaging and polysomnography on the first day of usage. Following evaluations were made on the third and sixth month. After a follow‐up period of 6 months, Apnoea/Hypopnea Index (AHI) significantly decreased from 26·7 to 3·0. However, the average oxygen saturation did not improve as expected initially. The MAD therapy decreased the AHI scores of a patient with FP. At the end of a follow‐up period of 6 months, the patient did not report any serious complaint except temporary tooth pains.

Url:
DOI: 10.1111/j.1365-2842.2012.02287.x


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ISTEX:F184DB1B4A05E89A2AA52E2365731818AA207E21

Le document en format XML

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<front>
<div type="abstract">Summary  This case report aimed to describe the fabrication procedure and treatment efficacy of an individual, one‐piece, non‐adjustable mandibular advancement device (MAD) for a moderate obstructive sleep apnoea patient with facial paralysis (FP). Mandibular advancement device was fabricated with autopolymerising acrylic resin. The intermaxillary relations were recorded such as to fix the mandible at a protruded position with increased vertical dimension. Initial evaluation of the MAD was made with axial magnetic resonance imaging and polysomnography on the first day of usage. Following evaluations were made on the third and sixth month. After a follow‐up period of 6 months, Apnoea/Hypopnea Index (AHI) significantly decreased from 26·7 to 3·0. However, the average oxygen saturation did not improve as expected initially. The MAD therapy decreased the AHI scores of a patient with FP. At the end of a follow‐up period of 6 months, the patient did not report any serious complaint except temporary tooth pains.</div>
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