Orthèse d’avancée mandibulaire ou ostéotomie maxillo-mandibulaire pour le traitement des syndromes d’apnées obstructives du sommeil sévères refusant la PPC

Jalbert, F.; Lacassagne, L.; Bessard, J.; Dekeister, C.; Paoli, J.-R.; Tiberge, M.

doi:10.1016/j.stomax.2011.11.005

Cited by 17 publications

(8 citation statements)

References 21 publications

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“…If CPAP is unsuccessful, bi-level positive airway pressure (BiPAP) is the next treatment step. Surgical treatment is an option depending on situations where the effect of PAP is limited by the upper airway obstruction (Ephros et al, 2010;Maurer, 2010) or when conservative therapy for severe OSAS has failed (Browaldh et al, 2009;Jalbert et al, 2012).…”

Section: Journal Of Applied Biomedicinementioning

confidence: 99%

Improved prediction of CPAP failure using T90, age and gender

Slouka¹,

Honnerova²,

Hošek³

et al. 2019

JAB

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Sleep apnea syndrome is associated with increased risk of cardiovascular disease. In treating older patients, there is a special emphasis put on minimally invasive and conservative procedures and a simple method for predicting the potential for treatment success is essential. Continuous positive airway pressure (CPAP) is the first choice for treatment, however, it is not always successful. In cases where CPAP was unsuccessful, treatment with bilevel positive airway pressure (BiPAP) is the next treatment option. In this study, we examine commonly evaluated respiratory parameters, obesity, and age relative to their ability to predict CPAP failure. We also tried to find differences in the predictive ability of these parameters in older and younger patients. The predictive ability, relative to CPAP failure, was examined for each individual parameter as well as for combinations of parameters. All variables had a statistical association with CPAP failure; failure prediction reliability ranged from poor to moderate. Combining T90, age, and gender can be used to find patients who will benefit from BiPAP as the first choice for treatment. An initial BiPAP indication can produce relevant reductions in treatment cost.

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Section: Journal Of Applied Biomedicinementioning

confidence: 99%

Improved prediction of CPAP failure using T90, age and gender

Slouka¹,

Honnerova²,

Hošek³

et al. 2019

JAB

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“…A recent alternative to the centimetric BAS, according to Zinser 65 and cited symptomatic OSA. The traditional contraindications found in literature concern the consumption of respiratory depressants such as alcohol or psychotropic drugs or any previous cases of obstructive bronchopneumopathy, cardiovascular or cerebrovascular incidents, and congenital mypopathies 32 . Some teams use surgical procedures in several operatory stages as described by the Stanford group (uvulopharyngoplasty UPPP or advancement of the genioglossus followed by a secondstage balloon atrial septostomy (BAS) in case of failure.)…”

Section: The Surgical Technique Itselfmentioning

confidence: 99%

“…The conclusion of this meta-analysis is that BAS should be conducted first in those patients presenting with a skeletal deficit. with severe OSA and for whom PPC has failed, Jalbert 32 finds the success rate of maxillary surgical advancement of 65%-100% (with an average of approximately 88.5%). According to the series, an average reduction of AHI of 60/h to 9/h.…”

Section: The Surgical Technique Itselfmentioning

confidence: 99%

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Relationship between obstructive sleep apnea and orthognathic surgery

Barère¹,

Sapène²,

Mutel³

et al. 2016

J Dentofacial Anom Orthod

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The obstructive sleep apnea (OSA) syndrome has become an important issue in the field of medicine. It has been a relatively discreet pathology until now, but its prevalence as well as an important cardiovascular risk factor, has made it a major public health issue. Orthognathic surgery has now made its mark in both OSA and orthodontic treatment. It seemed appropriate to link these three areas. Objective: Describe the implications and the mutual relations between OSA and maxillofacial osteotomies, despite the fact that scientific literature is not very consensual, and identify the present principles to adapt our therapeutic proposal and our treatment plan. The orthodontic specificities will also be described in this type of patient. Means: A multidisciplinary, descriptive study after reviewing the literature (meta-analysis and baseline studies), enriched by each specialist's remarks. Apneic and orthognathic pathologies are obviously multidisciplinary and providing an overview on treatment seemed necessary.

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“…MAD has been shown to be especially effective in treating supine dependent sleep apnea [16]. MAD has also been recommended in the treatment of severe OSAS [17][18][19], especially if the patient is unable to tolerate a C-PAP device [20][21][22]. Intolerance towards C-PAP equipment occurs in many cases, particularly in obese patients.…”

Section: Introductionmentioning

confidence: 99%

The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea

Raunio¹,

Mattila²,

Huuskonen³

et al. 2015

JOMR

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Objectives: The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective. Material and Methods: A total of 68 patients with obstructive sleep apnea syndrome (OSAS) including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD) and monitored with polysomnography. Results: 25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1. Conclusions: The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management.

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Orthèse d’avancée mandibulaire ou ostéotomie maxillo-mandibulaire pour le traitement des syndromes d’apnées obstructives du sommeil sévères refusant la PPC

Cited by 17 publications

References 21 publications

Improved prediction of CPAP failure using T90, age and gender

Improved prediction of CPAP failure using T90, age and gender

Relationship between obstructive sleep apnea and orthognathic surgery

The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea

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