Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders
Identifieur interne : 003404 ( Istex/Corpus ); précédent : 003403; suivant : 003405Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders
Auteurs : A. Johal ; M P Hector ; J M Battagel ; B T KotechaSource :
- The Journal of Laryngology & Otology [ 0022-2151 ] ; 2007-07.
Abstract
Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders. Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring. Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p<0.001), Epworth sleepiness scale scores (from 11 to seven, p<0.001) and partner-recorded snoring scores (from 14 to eight, p<0.001). Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.
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DOI: 10.1017/S0022215106003203
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Johal</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Hector, M P" sort="Hector, M P" uniqKey="Hector M" first="M P" last="Hector">M P Hector</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Battagel, J M" sort="Battagel, J M" uniqKey="Battagel J" first="J M" last="Battagel">J M Battagel</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Kotecha, B T" sort="Kotecha, B T" uniqKey="Kotecha B" first="B T" last="Kotecha">B T Kotecha</name><affiliation><mods:affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:6920F633FE8C73D50FA92881A4D0DFE98BCD385B</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1017/S0022215106003203</idno><idno type="url">https://api.istex.fr/document/6920F633FE8C73D50FA92881A4D0DFE98BCD385B/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003404</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003404</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders</title><author><name sortKey="Johal, A" sort="Johal, A" uniqKey="Johal A" first="A" last="Johal">A. Johal</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Hector, M P" sort="Hector, M P" uniqKey="Hector M" first="M P" last="Hector">M P Hector</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Battagel, J M" sort="Battagel, J M" uniqKey="Battagel J" first="J M" last="Battagel">J M Battagel</name><affiliation><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Kotecha, B T" sort="Kotecha, B T" uniqKey="Kotecha B" first="B T" last="Kotecha">B T Kotecha</name><affiliation><mods:affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Laryngology & Otology</title><idno type="ISSN">0022-2151</idno><idno type="eISSN">1748-5460</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2007-07">2007-07</date><biblScope unit="volume">121</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="668">668</biblScope><biblScope unit="page" to="675">675</biblScope></imprint><idno type="ISSN">0022-2151</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-2151</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders. Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring. Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p<0.001), Epworth sleepiness scale scores (from 11 to seven, p<0.001) and partner-recorded snoring scores (from 14 to eight, p<0.001). Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.</div></front></TEI><istex><corpusName>cambridge</corpusName><author><json:item><name>A Johal</name><affiliations><json:string>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</json:string></affiliations></json:item><json:item><name>M P Hector</name><affiliations><json:string>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</json:string></affiliations></json:item><json:item><name>J M Battagel</name><affiliations><json:string>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</json:string></affiliations></json:item><json:item><name>B T Kotecha</name><affiliations><json:string>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Sleep</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Respiratory Mechanics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Mandible</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Splints</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Endoscopy</value></json:item></subject><arkIstex>ark:/67375/6GQ-60DSZW82-3</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders. Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring. Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p>0.001), Epworth sleepiness scale scores (from 11 to seven, p>0.001) and partner-recorded snoring scores (from 14 to eight, p>0.001). 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and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</affiliation></author><author xml:id="author-0003"><persName><forename type="first">B T</forename><surname>Kotecha</surname></persName><affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</affiliation></author><idno type="istex">6920F633FE8C73D50FA92881A4D0DFE98BCD385B</idno><idno type="ark">ark:/67375/6GQ-60DSZW82-3</idno><idno type="DOI">10.1017/S0022215106003203</idno><idno type="PII">S0022215106003203</idno><idno type="PMID">17201984</idno></analytic><monogr><title level="j">The Journal of Laryngology & Otology</title><idno type="pISSN">0022-2151</idno><idno type="eISSN">1748-5460</idno><idno type="publisher-id">JLO</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2007-07"></date><biblScope unit="volume">121</biblScope><biblScope 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Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring. Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p<0.001), Epworth sleepiness scale scores (from 11 to seven, p<0.001) and partner-recorded snoring scores (from 14 to eight, p<0.001). Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>Sleep</term></item><item><term>Respiratory Mechanics</term></item><item><term>Mandible</term></item><item><term>Splints</term></item><item><term>Endoscopy</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-01-04">Created</change><change when="2007-07">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-09-5">References added</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="corpus cambridge not found" wicri:toSee="no header"><istex:xmlDeclaration>version='1.0' encoding='UTF-8'</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" URI="JATS-journalpublishing1.dtd" name="istex:docType"></istex:docType><istex:document><article dtd-version="1.0" article-type="research-article"><front><journal-meta><journal-id journal-id-type="publisher-id">JLO</journal-id><journal-title-group><journal-title>The Journal of Laryngology & Otology</journal-title><abbrev-journal-title>J. Laryngol. Otol.</abbrev-journal-title></journal-title-group><issn pub-type="epub">1748-5460</issn><issn pub-type="ppub">0022-2151</issn><publisher><publisher-name>Cambridge University Press</publisher-name><publisher-loc>Cambridge, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pii">S0022215106003203</article-id><article-id pub-id-type="pmid">17201984</article-id><article-id pub-id-type="doi">10.1017/S0022215106003203</article-id><article-categories><subj-group subj-group-type="heading"><subject>Main Articles</subject></subj-group></article-categories><title-group><article-title>Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders</article-title></title-group><contrib-group><contrib><name><surname>Johal</surname><given-names>A</given-names></name><aff>Oral Growth and Development, <institution>Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry</institution>, London, <country>UK</country></aff></contrib><contrib><name><surname>Hector</surname><given-names>M P</given-names></name><aff>Oral Growth and Development, <institution>Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry</institution>, London, <country>UK</country></aff></contrib><contrib><name><surname>Battagel</surname><given-names>J M</given-names></name><aff>Oral Growth and Development, <institution>Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry</institution>, London, <country>UK</country></aff></contrib><contrib><name><surname>Kotecha</surname><given-names>B T</given-names></name><aff><institution>Sleep study unit, Royal National Throat, Nose and Ear Hospital</institution>, London, <country>UK</country></aff></contrib></contrib-group><pub-date pub-type="epub"><day>04</day><month>01</month><year>2007</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2007</year></pub-date><volume>121</volume><issue seq="12">7</issue><fpage>668</fpage><lpage>675</lpage><history><date date-type="accepted"><day>31</day><month>3</month><year>2006</year></date></history><permissions><copyright-statement>2006 JLO (1984) Limited</copyright-statement></permissions><abstract><p>Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders.</p><p>Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring.</p><p>Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, <italic>p</italic><0.001), Epworth sleepiness scale scores (from 11 to seven, <italic>p</italic><0.001) and partner-recorded snoring scores (from 14 to eight, <italic>p</italic><0.001).</p><p>Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.</p></abstract><kwd-group><kwd>Sleep</kwd><kwd>Respiratory Mechanics</kwd><kwd>Mandible</kwd><kwd>Splints</kwd><kwd>Endoscopy</kwd></kwd-group><counts><page-count count="8"></page-count></counts><custom-meta-group><custom-meta><meta-name>pdf</meta-name><meta-value>S0022215106003203a.pdf</meta-value></custom-meta></custom-meta-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders</title></titleInfo><name type="personal"><namePart type="given">A</namePart><namePart type="family">Johal</namePart><affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M P</namePart><namePart type="family">Hector</namePart><affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J M</namePart><namePart type="family">Battagel</namePart><affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B T</namePart><namePart type="family">Kotecha</namePart><affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" 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>Cambridge University Press</publisher><place><placeTerm type="text">Cambridge, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-07</dateIssued><dateCreated encoding="w3cdtf">2007-01-04</dateCreated><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>Aim: To evaluate the impact of positive sleep nasendoscopy, with simultaneous mandibular advancement, on the outcome of mandibular advancement splint therapy in 120 subjects with sleep-related breathing disorders. Methodology: Overnight polysomnography and sleep nasendoscopy were performed prior to splint therapy. Follow-up sleep studies, with the appliance in situ, were undertaken for those patients with obstructive sleep apnoea. Subjective outcome measures assessed daytime sleepiness and snoring. Results: One hundred and seven (89 per cent) subjects completed the study. Follow-up sleep studies confirmed the efficacy of treatment, with patients showing a mean reduction in apnoea/hypopnoea index (from 18.9 to 4.9, p<0.001), Epworth sleepiness scale scores (from 11 to seven, p<0.001) and partner-recorded snoring scores (from 14 to eight, p<0.001). Conclusion: Sleep nasendoscopy, with concomitant mandibular advancement to mimic the treatment effect, could be of prognostic value in determining successful mandibular advancement splint therapy.</abstract><subject><genre>keywords</genre><topic>Sleep</topic><topic>Respiratory Mechanics</topic><topic>Mandible</topic><topic>Splints</topic><topic>Endoscopy</topic></subject><relatedItem type="host"><titleInfo><title>The Journal of Laryngology & Otology</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><identifier type="ISSN">0022-2151</identifier><identifier type="eISSN">1748-5460</identifier><identifier type="PublisherID">JLO</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>121</number></detail><detail type="issue"><caption>no.</caption><number>7</number></detail><extent unit="pages"><start>668</start><end>675</end><total>8</total></extent></part></relatedItem><identifier type="istex">6920F633FE8C73D50FA92881A4D0DFE98BCD385B</identifier><identifier type="ark">ark:/67375/6GQ-60DSZW82-3</identifier><identifier type="DOI">10.1017/S0022215106003203</identifier><identifier type="PII">S0022215106003203</identifier><identifier type="PMID">17201984</identifier><accessCondition type="use and reproduction" contentType="copyright">2006 JLO (1984) Limited</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-G3RCRD03-V">cambridge</recordContentSource><recordOrigin>2006 JLO (1984) Limited</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/6920F633FE8C73D50FA92881A4D0DFE98BCD385B/metadata/json</uri></json:item></metadata><annexes><json:item><extension>gif</extension><original>true</original><mimetype>image/gif</mimetype><uri>https://api.istex.fr/document/6920F633FE8C73D50FA92881A4D0DFE98BCD385B/annexes/gif</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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