1. Efficiency of the Ocluch©MAD in the treatment of patients with OSAS and its association with craniofacial morphology
- Author
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Paula Espinosa, Diana Florea, Lissette Cazenave, Claudio Sotomayor, Mónica Firmani, Juan Carlos Salinas, Emilia Valencia, and Nilda Becerra
- Subjects
medicine.medical_specialty ,Pediatrics ,Supine position ,Neurology ,medicine.diagnostic_test ,business.industry ,Epworth Sleepiness Scale ,Neuroscience (miscellaneous) ,Medicine (miscellaneous) ,Polysomnography ,respiratory tract diseases ,03 medical and health sciences ,Behavioral Neuroscience ,0302 clinical medicine ,030228 respiratory system ,Respiratory disturbance index ,medicine ,In patient ,Craniofacial ,business ,030217 neurology & neurosurgery ,Oxygen saturation (medicine) - Abstract
Objective This study uses polysomnography and the Epworth sleepiness scale to assess the efficiency of the Ocluch©MAD in patients with Obstructive sleep apnea-hypopnea syndrome (OSAS), on overall respiratory disturbance indices (RDI), supine respiratory disturbance index (SRDI), minimum oxygen saturation, microarousals, CT90 (or ID90), sleep efficacy and snoring. These data are associated with skeletal class and facial biotype in order to establish predictive parameters for its effectiveness according to craniofacial morphology. Methods 22 adult patients (between 38 and 60 years of age) of both sexes (7 women, 15 men) diagnosed with OSAS in the Hospital de Carabineros de Chile (HOSCAR) Neurology Unit were recruited and given the Ocluch© MAD in the hospital's dental clinic, for its use during a three-month period. Patients were assess at the beginning and in the end of this period. Results 87.5% of patients with mild OSAS achieved the success criterion and normalization; 71.5% of patients with moderate OSAS achieved the success criterion and 33.3% achieved normalization; 85.7% of patients with severe OSAS achieved the success criterion and 57.1% achieved normalization. All class I and mesofacial patients achieved normalization, but class II patients had the greatest proportional improvement. Conclusions The Ocluch MAD is an efficient low-cost alternative that should be considered among the therapeutic arsenal for a multidisciplinary approach to treating this disease.
- Published
- 2018
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