Revaluing the role of the tongue in obstructive sleep apnea

Cahali, Michel Burihan

doi:10.1590/1806-3713/e20190208

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…The repositioning of the muscle flaps promotes structural changes to the retropalatal space 1707 . In OSA patients, the LPW narrow the UA during wakefulness, 200,319 they further enlarge in volume in obstructed respiration during sleep, 1708,1709 and are particularly collapsible in severe OSA during natural sleep 1710 …”

Section: Surgical Treatment For Osamentioning

confidence: 99%

“…1706 The repositioning of the muscle flaps promotes structural changes to the retropalatal space. 1707 In OSA patients, the LPW narrow the UA during wakefulness, 200,319 they further enlarge in volume in obstructed respiration during sleep, 1708,1709 and are particularly collapsible in severe OSA during natural sleep. 1710 In the first description of LP for OSA treatment in 2003, Cahali 1706 found improvement in the AHI, snoring complaints, amount of deep sleep, and ESS score in a median follow-up of 8 months.…”

Section: Ixd4cmentioning

confidence: 99%

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Section: Surgical Treatment For Osamentioning

confidence: 99%

Section: Ixd4cmentioning

confidence: 99%

International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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“…This can be attributed to abnormal position and size of the resting tongue that occurs following tooth loss. Moreover, tongue represents the leading mechanism of obstruction causing changes in pharyngeal structures 10 . Concurrently motor skills of elderly edentate and complete denture wearers also seem to be deficient contributing to abnormal position 11 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, tongue represents the leading mechanism of obstruction causing changes in pharyngeal structures. 10 Concurrently motor skills of elderly edentate and complete denture wearers also seem to be deficient contributing to abnormal position. 11 Hence impact of tooth loss on OSA scores was evaluated.…”

Section: Discussionmentioning

confidence: 99%

Impact of soft palate visibility and tongue position on early diagnosis of obstructive sleep apnea among patients with tooth loss – An observational preliminary study

Babu

Mani

et al. 2021

Special Care in Dentistry

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Background: Obstructive sleep apnea (OSA) was estimated to affect 15% to 30% of males and 5% to 15% of females with prevalence increasing with progressive tooth loss and its early identification can reduce the sequalae of OSA. Apneahypopnea index is confirmatory but unsuitable for clinical settings to detect OSA and concise screening tools are required to detect OSA in edentulous patients. Aim: To evaluate the impact of soft palate visibility and tongue position on incidence of OSA among edentulous patients. Methodology: Thirty two edentulous participants aged between 30 and 65 years were grouped as partially edentulous (PE) and completely edentulous (CE). STOP-BANG Questionnaire (SBQ) was used to assess the scores in OSA risk factors. Mallampati score assessed soft palate visibility. Wright's Classification graded tongue position. Spearmann test evaluated the correlation between the soft palate visibility and tongue position on the OSA scores. Mann-Whitney U test evaluated influence of tooth loss and gender on OSA scores. Results: Positive correlation existed between Mallampati scores, Wright's classification and OSA scores (p < .05). CE participants and male participants had more OSA scores at (p < .05) and (p < .01).Conclusions: SBQ and Mallampati score can assist in chairside screening of OSA. Early screening for OSA in edentulous patients will direct for early intervention and prevent unforeseen sequalae.

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“…1705 The repositioning of the muscle flaps promotes structural changes to the retropalatal space. 1706 In OSA patients, the LPW narrow the upper airway during wakefulness, 199,318 they further enlarge in volume in obstructed respiration during sleep, 1707,1708 and are particularly collapsible in severe OSA during natural sleep. 1709 In the first description of LP for OSA treatment in 2003, Cahali 1705 found improvement in the apneahypopnea index (AHI), snoring complaints, amount of deep sleep and Epworth sleepiness scale (ESS) score in a median follow-up of 8 months.…”

Section: Ixd4c Lateral Pharyngoplastymentioning

confidence: 99%