Impact of sleep nasendoscopy on the outcome of mandibular advancement splint therapy in subjects with sleep-related breathing disorders
Identifieur interne : 003404 ( Istex/Curation ); 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 [Royaume-Uni] ; M P Hector [Royaume-Uni] ; J M Battagel [Royaume-Uni] ; B T Kotecha [Royaume-Uni]Source :
- 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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London</wicri:regionArea></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><idno type="wicri:Area/Istex/Curation">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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Growth and Development, Institute of Dentistry, Barts & The London Queen Mary's School of Medicine and Dentistry, London</wicri:regionArea></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 wicri:level="1"><mods:affiliation>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sleep study unit, Royal National Throat, Nose and Ear Hospital, London</wicri:regionArea></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></record>Pour manipuler ce document sous Unix (Dilib)
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