Adherence to CPAP with a nasal mask combined with mandibular advancement device versus an oronasal mask: a randomized crossover trial.
Continuous positive airway pressure
Mandibular advancement device
Nasal mask
Obstructive sleep apnea
Treatment adherence and compliance
Journal
Sleep & breathing = Schlaf & Atmung
ISSN: 1522-1709
Titre abrégé: Sleep Breath
Pays: Germany
ID NLM: 9804161
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
15
08
2018
accepted:
14
12
2018
revised:
05
11
2018
pubmed:
29
1
2019
medline:
3
11
2020
entrez:
29
1
2019
Statut:
ppublish
Résumé
Evidence for the management of CPAP-treated obstructive sleep apnea suggests that oronasal masks reduce mouth leaks at the expense of higher pressures and poorer adherence. Some authors have proposed the use of mandibular advancement devices in combination with nasal masks to address this. The aim of this study was to assess adherence to CPAP after 1 month's use of a nasal mask with a mandibular advancement device and to compare adherence with an oronasal mask. A randomized crossover trial design to assess whether a mandibular advancement device combined with a nasal mask would improve CPAP adherence compared to an oronasal mask. There was no improvement in CPAP adherence and self-reported interface-related pain was significantly higher with the combined treatment. Although the combined treatment reduced pressures, likely by improving upper airway patency, it may only be appropriate for a small number of patients due to associated discomfort. NCT01889472.
Identifiants
pubmed: 30689098
doi: 10.1007/s11325-018-01772-5
pii: 10.1007/s11325-018-01772-5
doi:
Banques de données
ClinicalTrials.gov
['NCT01889472']
Types de publication
Clinical Trial
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
885-888Références
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