A mandibular advancement device for the ENT office to treat obstructive sleep apnea

To prospectively evaluate the efficacy of the mandibular advancement device (MAD) Somnoguard in the treatment of OSA patients. Forty-four patients with OSA and noncompliant to continuous positive airway pressure were enrolled in this case series. Somnoguard is made of thermoplastic material. Direct...

Full description

Saved in:
Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2007-02, Vol.136 (2), p.231-235
Main Authors: Maurer, Joachim T., Huber, Kerstin, Verse, Thomas, Hörmann, Karl, Stuck, Boris
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Care
Equipment Design
Female
Humans
Male
Mandibular Advancement - instrumentation
Middle Aged
Oxygen - blood
Prospective Studies
Sleep Apnea, Obstructive - blood
Sleep Apnea, Obstructive - therapy
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To prospectively evaluate the efficacy of the mandibular advancement device (MAD) Somnoguard in the treatment of OSA patients. Forty-four patients with OSA and noncompliant to continuous positive airway pressure were enrolled in this case series. Somnoguard is made of thermoplastic material. Direct intraoral fitting was done by an otorhinolaryngologist. Polysomnographic data concerning sleep and respiration were assessed at baseline and after familiarization with the MAD. Sleep efficiency and sleep stages distribution did not change significantly. The RDI could be reduced from 31.5 ± 17.6 to 18.2 ± 17.0 ( P < 0.05), the minimal oxygen saturation increased from 78 ± 12.9 to 82 ± 12.5% ( P < 0.05). According to standard criteria, 18 patients were cured, 12 were improved, 8 remained unchanged, and 6 worsened. Snoring time decreased from 223 ± 132 to 183 ± 134 minutes ( P < 0.05). With Somnoguard 68% of the enrolled OSA patients could be cured or substantially improved. It is a simple MAD for the otolaryngologist.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2006.08.008