Drug-Induced Sleep Endoscopy Upper Airway Collapse Patterns and Maxillomandibular Advancement.
Airway Obstruction
/ physiopathology
Endoscopy
/ methods
Female
Humans
Hypnotics and Sedatives
/ administration & dosage
Male
Mandibular Advancement
Middle Aged
Orthodontics, Corrective
Osteotomy, Le Fort
Osteotomy, Sagittal Split Ramus
Phenotype
Polysomnography
Prospective Studies
Sleep
Sleep Apnea, Obstructive
/ physiopathology
Obstructive sleep apnea
bimaxillary surgery
palate
personalized medicine
velum
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
30
10
2018
revised:
28
03
2019
accepted:
03
04
2019
pubmed:
30
4
2019
medline:
25
8
2020
entrez:
30
4
2019
Statut:
ppublish
Résumé
To evaluate upper airway (UA) collapse patterns during drug-induced sleep endoscopy (DISE) and maxillomandibular advancement (MMA) surgery outcome, paying particular attention to the DISE phenotype complete concentric collapse at the level of the palate (CCCp). Prospective case series. Nineteen patients diagnosed with obstructive sleep apnea (OSA) prospectively underwent mandibular advancement device (MAD) treatment followed by MMA surgery. UA collapse patterns were evaluated before and after MMA surgery. Baseline apnea-hypopnea index (AHI) was compared with AHI during MAD treatment and after MMA surgery. UA collapse patterns and the presence of baseline CCCp were assessed. AHI differences between patients with and without CCCp after MMA surgery were compared. In 14 patients, a full dataset was obtained: 8/6 (male/female), mean age = 51 ± 7 years, body mass index (BMI) = 25.6 ± 3.7 kg/m CCCp seems not to be a negative predictor for MMA surgery outcome measured by AHI reduction. Furthermore, MMA is likely to eliminate CCCp. Therefore, MMA might be a solution for OSA patients showing CCCp and broadens the perspective for personalized medicine and combination therapy. However, a large sample is required for definitive results. 4 Laryngoscope, 130:E268-E274, 2020.
Substances chimiques
Hypnotics and Sedatives
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E268-E274Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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