Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report
Severe positional obstructive sleep apnea syndrome (POSAS) is a common clinical respiratory disorder with an incidence of 26.7% to 74.5%. Continuous positive airway pressure (CPAP) combined with positional therapy is the gold standard of treatment. However, a mandibular advancement device (MAD) is a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/12/20/10570 |
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| author | Lucia Memè Sabina Saccomanno Enrico M. Strappa Francesco Sampalmieri Fabrizio Bambini Gianni Gallusi |
| author_facet | Lucia Memè Sabina Saccomanno Enrico M. Strappa Francesco Sampalmieri Fabrizio Bambini Gianni Gallusi |
| author_sort | Lucia Memè |
| collection | DOAJ |
| description | Severe positional obstructive sleep apnea syndrome (POSAS) is a common clinical respiratory disorder with an incidence of 26.7% to 74.5%. Continuous positive airway pressure (CPAP) combined with positional therapy is the gold standard of treatment. However, a mandibular advancement device (MAD) is an effective alternative to CPAP when compliance with CPAP is low or if CPAP is rejected by the patient. A 63-year-old Caucasian male (BMI 26.1 kg/m<sup>2</sup>) complaining of repeated episodes of daytime sleepiness and heavy snoring was diagnosed with POSAS and treated with a MAD. After two years, polysomnographic (PSG) control analysis showed a significant reduction in the number of obstructive sleep apnea/hypopnea episodes per hour (AHI) by 58.9% in the lateral position and 75.5% in the supine position, complete remission of symptoms, a significant reduction in the severity of POSAS, and an overall improvement in quality of life. No adverse events or reduction in compliance were observed during the follow-up period. For severe POSAS, MADs may be an alternative method that is well tolerated by patients and has a good safety profile. |
| first_indexed | 2024-03-09T20:45:29Z |
| format | Article |
| id | doaj.art-39b2ecac111b4155973f13d866c17a4d |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-09T20:45:29Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-39b2ecac111b4155973f13d866c17a4d2023-11-23T22:46:51ZengMDPI AGApplied Sciences2076-34172022-10-0112201057010.3390/app122010570Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case ReportLucia Memè0Sabina Saccomanno1Enrico M. Strappa2Francesco Sampalmieri3Fabrizio Bambini4Gianni Gallusi5Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Health, Life and Environmental Science, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Health Technologies, IRCCS Orthopedic Institute Galeazzi, University of Milan, 20161 Milan, ItalyDepartment of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalySevere positional obstructive sleep apnea syndrome (POSAS) is a common clinical respiratory disorder with an incidence of 26.7% to 74.5%. Continuous positive airway pressure (CPAP) combined with positional therapy is the gold standard of treatment. However, a mandibular advancement device (MAD) is an effective alternative to CPAP when compliance with CPAP is low or if CPAP is rejected by the patient. A 63-year-old Caucasian male (BMI 26.1 kg/m<sup>2</sup>) complaining of repeated episodes of daytime sleepiness and heavy snoring was diagnosed with POSAS and treated with a MAD. After two years, polysomnographic (PSG) control analysis showed a significant reduction in the number of obstructive sleep apnea/hypopnea episodes per hour (AHI) by 58.9% in the lateral position and 75.5% in the supine position, complete remission of symptoms, a significant reduction in the severity of POSAS, and an overall improvement in quality of life. No adverse events or reduction in compliance were observed during the follow-up period. For severe POSAS, MADs may be an alternative method that is well tolerated by patients and has a good safety profile.https://www.mdpi.com/2076-3417/12/20/10570obstructive sleep apnea syndromeoral appliancesmandibular advancement devicecontinuous positive airway pressuresevere OSASsnoring |
| spellingShingle | Lucia Memè Sabina Saccomanno Enrico M. Strappa Francesco Sampalmieri Fabrizio Bambini Gianni Gallusi Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report Applied Sciences obstructive sleep apnea syndrome oral appliances mandibular advancement device continuous positive airway pressure severe OSAS snoring |
| title | Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report |
| title_full | Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report |
| title_fullStr | Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report |
| title_full_unstemmed | Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report |
| title_short | Oral Appliances for Severe Positional Obstructive Sleep Apnea Syndrome: A Case Report |
| title_sort | oral appliances for severe positional obstructive sleep apnea syndrome a case report |
| topic | obstructive sleep apnea syndrome oral appliances mandibular advancement device continuous positive airway pressure severe OSAS snoring |
| url | https://www.mdpi.com/2076-3417/12/20/10570 |
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