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 : 000A65Use 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]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2012-06.
English descriptors
- KwdEn :
- Airway, Airway pressure, Anterior mandibular, Apnea, Apnea syndrome, Apnea treatment, Apnoea, Apnoea hypopnea index, Apnoea patient, Appliance, Arch otorhinolaryngol, Autopolymerising acrylic resin, Blackwell publishing, Case report, Cerebellopontine angle surgery, Column area, Cpap, Crit, Different mads, Disordered breathing, Epworth sleepiness scale, Fabrication procedure, Facial, Facial nevre paralysis, Facial paralysis, Herbst appliance, Individual mandibular advancement device, Initial evaluation, Intermaxillary relationship, Mads, Mandibular, Mandibular advancement appliances, Mandibular advancement device, Mandibular advancement devices, Mandibular occlusal splints, Masticatory muscles, Maximum protrusion, Medical academy, Nasal cpap treatment, Nonparalysed side, Obstructive, Oral appliances, Oral cavity, Oxygen saturation, Pharyngeal, Pharyngeal collapse, Placebo device, Protrusion, Protrusion range, Resonance imaging, Respir, Respir crit care, Retrolingual region, Serious complaint, Side effects, Sixth month, Temporary tooth pains, Third month, Treatment success, Upper airway, Vertical dimension, Vertical opening, Weight loss.
- Teeft :
- Airway, Airway pressure, Anterior mandibular, Apnea, Apnea syndrome, Apnea treatment, Apnoea, Apnoea hypopnea index, Apnoea patient, Appliance, Arch otorhinolaryngol, Autopolymerising acrylic resin, Blackwell publishing, Case report, Cerebellopontine angle surgery, Column area, Cpap, Crit, Different mads, Disordered breathing, Epworth sleepiness scale, Fabrication procedure, Facial, Facial nevre paralysis, Facial paralysis, Herbst appliance, Individual mandibular advancement device, Initial evaluation, Intermaxillary relationship, Mads, Mandibular, Mandibular advancement appliances, Mandibular advancement device, Mandibular advancement devices, Mandibular occlusal splints, Masticatory muscles, Maximum protrusion, Medical academy, Nasal cpap treatment, Nonparalysed side, Obstructive, Oral appliances, Oral cavity, Oxygen saturation, Pharyngeal, Pharyngeal collapse, Placebo device, Protrusion, Protrusion range, Resonance imaging, Respir, Respir crit care, Retrolingual region, Serious complaint, Side effects, Sixth month, Temporary tooth pains, Third month, Treatment success, Upper airway, Vertical dimension, Vertical opening, Weight loss.
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
Affiliations:
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<term>Apnea syndrome</term>
<term>Apnea treatment</term>
<term>Apnoea</term>
<term>Apnoea hypopnea index</term>
<term>Apnoea patient</term>
<term>Appliance</term>
<term>Arch otorhinolaryngol</term>
<term>Autopolymerising acrylic resin</term>
<term>Blackwell publishing</term>
<term>Case report</term>
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<term>Individual mandibular advancement device</term>
<term>Initial evaluation</term>
<term>Intermaxillary relationship</term>
<term>Mads</term>
<term>Mandibular</term>
<term>Mandibular advancement appliances</term>
<term>Mandibular advancement device</term>
<term>Mandibular advancement devices</term>
<term>Mandibular occlusal splints</term>
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<term>Medical academy</term>
<term>Nasal cpap treatment</term>
<term>Nonparalysed side</term>
<term>Obstructive</term>
<term>Oral appliances</term>
<term>Oral cavity</term>
<term>Oxygen saturation</term>
<term>Pharyngeal</term>
<term>Pharyngeal collapse</term>
<term>Placebo device</term>
<term>Protrusion</term>
<term>Protrusion range</term>
<term>Resonance imaging</term>
<term>Respir</term>
<term>Respir crit care</term>
<term>Retrolingual region</term>
<term>Serious complaint</term>
<term>Side effects</term>
<term>Sixth month</term>
<term>Temporary tooth pains</term>
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<term>Vertical dimension</term>
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<term>Weight loss</term>
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<term>Apnea treatment</term>
<term>Apnoea</term>
<term>Apnoea hypopnea index</term>
<term>Apnoea patient</term>
<term>Appliance</term>
<term>Arch otorhinolaryngol</term>
<term>Autopolymerising acrylic resin</term>
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<term>Case report</term>
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<term>Cpap</term>
<term>Crit</term>
<term>Different mads</term>
<term>Disordered breathing</term>
<term>Epworth sleepiness scale</term>
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<term>Facial nevre paralysis</term>
<term>Facial paralysis</term>
<term>Herbst appliance</term>
<term>Individual mandibular advancement device</term>
<term>Initial evaluation</term>
<term>Intermaxillary relationship</term>
<term>Mads</term>
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<term>Medical academy</term>
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<term>Obstructive</term>
<term>Oral appliances</term>
<term>Oral cavity</term>
<term>Oxygen saturation</term>
<term>Pharyngeal</term>
<term>Pharyngeal collapse</term>
<term>Placebo device</term>
<term>Protrusion</term>
<term>Protrusion range</term>
<term>Resonance imaging</term>
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<term>Respir crit care</term>
<term>Retrolingual region</term>
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<term>Temporary tooth pains</term>
<term>Third month</term>
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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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