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Effectiveness of prosthetic mandibular advancement for obstructive sleep apnea:Analysis by sleep position
Author(s) -
ITASAKA YOSHIAKI,
MIYAZAKI SOICHIRO,
TADA HIROYUKI,
ISHIKAWA KAZUO,
TOGAWA KIYOSHI
Publication year - 1998
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1998.tb01044.x
Subject(s) - supine position , medicine , obstructive sleep apnea , anesthesia , apnea , body position , sleep apnea , hypopnea , polysomnography , orthodontics , physical medicine and rehabilitation
Abstract Fifteen patients with obstructive sleep apnea were treated using prosthetic mandibular advancement (PMA). Each patient was evaluated in the supine and lateral decubitus positions with and without PMA. After PMA treatment, the mean intraesophageal pressure (Peso) in the supine position improved from ‐42.6 to ‐27.3 cmH 2 O and the mean apnea + hypopnea index (AHI) decreased from 48.8/h to 23.7/h. The mean Peso in the lateral decubitus position improved from ‐27.9 to ‐18.6 cmH 2 O and the mean AHI decreased from 9.6/h to 6.6/h. With PMA, respiratory disturbance during sleep further improved by changing the body position from the supine to lateral decubitus position.