文章基本信息

标题：Severe obstructive sleep apnea treatment with mandibular advancement device: A case report
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作者：Maria de Lourdes Rabelo Guimarães ; Ana Paula Hermont ; Thais Moura Guimarães 等
期刊名称：Sleep Science
印刷版ISSN：1984-0659
电子版ISSN：1984-0063
出版年度：2018
卷号：11
期号：2
页码：118-122
DOI：10.5935/1984-0063.20180022
出版社：Brazilian Association of Sleep and Latin American Federation of Sleep Societies
摘要：Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to report a case using a MAD in a CPAP-intolerant patient suffering from severe OSA. Polysomnography exams were performed before and after treatment. Five months after fitting and titrating the MAD, the AHI was reduced from 80.5 events/hour to 14.6 events/hour and the minimum oxyhemoglobin saturation (SpO2) increased from 46% to 83%. A two-year assessment of therapy revealed an AHI of 8 events/hour and SpO2 of 85%.
关键词：Mandibular Advancement;Polysomnography;Sleep Apnea; Obstructive