A Ten-Year Follow-Up Case Report on the Treatment of Severe Obstructive Sleep Apnea Using a Mandibular Advancement Device
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This report describes the challenging case of a 45-year-old male Caucasian patient with morbid obesity and severe obstructive sleep apnea who was followed up for over 10 years by a multidisciplinary team that included sleep and dental medicine professionals, physiotherapists, and nutritionists. The patient underwent seven polysomnographic studies during the follow-up period; furthermore, nocturnal digital monitoring (NDM) was performed during the COVID-19 pandemic. The polysomnographic study revealed that the apnea-hypopnea index of the patient reduced from 131.7 ev/h to 9.4 ev/h without symptoms, while his NDM oxygen desaturation index varied because of weight gain during the COVID-19 pandemic. This case report highlights the importance of a multidisciplinary team in ensuring the success of mandibular advancement device therapy with excellent clinical outcomes. Furthermore, this report suggests that NDM was a good tool for follow-up during the COVID-19 pandemic.
Abstract
This report describes the challenging case of a 45-year-old male Caucasian patient with morbid obesity and severe obstructive sleep apnea who was followed up for over 10 years by a multidisciplinary team that included sleep and dental medicine professionals, physiotherapists, and nutritionists. The patient underwent seven polysomnographic studies during the follow-up period; furthermore, nocturnal digital monitoring (NDM) was performed during the COVID-19 pandemic. The polysomnographic study revealed that the apnea-hypopnea index of the patient reduced from 131.7 ev/h to 9.4 ev/h without symptoms, while his NDM oxygen desaturation index varied because of weight gain during the COVID-19 pandemic. This case report highlights the importance of a multidisciplinary team in ensuring the success of mandibular advancement device therapy with excellent clinical outcomes. Furthermore, this report suggests that NDM was a good tool for follow-up during the COVID-19 pandemic.
참고문헌 (10)
- Ramar K, "Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy : an update for 2015", J Clin Sleep Med, 11, pp.773~828 (2015)[DOI]
- Neelapu BC, "Craniofacial and upper airway morphology in adult obstructive sleep apnea patients : a systematic review and meta-analysis of cephalometric studies", Sleep Med Rev, 31, pp.79~90 (2017)[DOI]
- Kapur VK, "Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea : an American Academy of Sleep Medicine clinical practice guideline", J Clin Sleep Med, 13, pp.479~504 (2017)[DOI]
- Natsky AN, "Economic evaluation of diagnostic sleep studies for obstructive sleep apnoea : a systematic review protocol", Syst Rev, 10, pp.104~ (2021)[DOI]
- Trzepizur W, "Health outcomes of continuous positive airway pressure versus mandibular advancement device for the treatment of severe obstructive sleep apnea : an individual participant data meta-analysis", Sleep, 44, pp.zsab015~ (2021)[DOI]
- Hasan R, "Validation of an overnight wireless high-resolution oximeter for the diagnosis of obstructive sleep apnea at home", Sci Rep, 12, pp.15136~ (2022)[DOI]
- Uniken Venema JAM, "Mandibular advancement device design : a systematic review on outcomes in obstructive sleep apnea treatment", Sleep Med Rev, 60, pp.101557~ (2021)[DOI]
- Barbosa DF, "Effectiveness of a uniquely designed oral appliance on obstructive sleep apnea control : a pilot study", Eur J Dent, 16, pp.564~572 (2022)[DOI]
- Chen H, "Differences in three-dimensional craniofacial anatomy between responders and non-responders to mandibular advancement splint treatment in obstructive sleep apnoea patients", Eur J Orthod, 41, pp.308~315 (2019)[DOI]
- Sutherland K, "Oral appliance treatment for obstructive sleep apnea : an update", J Clin Sleep Med, 10, pp.215~227 (2014)[DOI]