Sleep Apnea Killed Carrie Fisher. Could It Kill You Too?
The condition that killed Carrie Fisher may affect up to a quarter of middle-aged adults.
Orthognathic surgery is routinely performed to correct dento-facial deformities and to improve the function and aesthetics of patients. Maxillo-mandibular advancement is also being used to treat patients with obstructive sleep apnea syndrome. The long-term success of these treatments depends on the skeletal stability, which remains a huge challenge despite the best surgical effort and advances in rigid internal fixation. Such challenge is greater in large mandibular advancements.
This study evaluates the effects of different MRDs on the airways of OSA patients using novel CFD analysis, eventually allowing clinicians to design an optimal MRD for the patient specific airway.
The purpose of this study was to evaluate and correlate long term subjective neurosensory recovery and oral function following maxillomandibular advancement in adult obstructive sleep apnea.
There is a paucity of information on the long term subjective effect of maxillomandibular advancement (MMA) on obstructive sleep apnea (OSA). The purpose of this study was to investigate the effect of MMA on long term patient perceived quality of life (QOL) in OSA.
Distinct comorbidity profiles have not been well defined for obstructive sleep apnea (OSA) patients treated with maxillomandibular advancement (MMA) compared to those managed medically. Surgical OSA patients commonly have contributing anatomic findings such as mandibular retrognathia, constricted posterior airway space, and increased upper airway length (1). Body mass index (BMI) may be less of a factor in the development of OSA in patients that undergo MMA. It was therefore hypothesized that surgical patients have fewer medical comorbidities compared to nonsurgical OSA patients.
Maxillomandibular advancement is an effective surgical treatment for medically refractory moderate to severe obstructive sleep apnea. Different degrees and vectors of bony advancements increase upper airway dimensions as a result of their soft tissue attachments. Previous studies have analyzed clinical efficacy by demonstrating increased airway dimension on pre and post-operative imaging, sleep study results, and drug induced sleep endoscopy (DISE). These studies are limited to analyzing the effects of single movements.
The prevalence of obstructive sleep apnea (OSA) is estimated to be 1 –5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatm...
Explore the relationship between sleep apnea status and sleep duration at time of PSG and BMI at one year post-injury in a Veteran and Service Member cohort enrolled in VA TBI Model Systems.
Authors: Kurosawa H, Saisho Y, Fukunaga K, Haraguchi M, Yamasawa W, Kurihara I, Betsuyaku T, Itoh H Abstract Aim of this study was to examine the association between the severity of obstructive sleep apnea (OSA) and dysglycemia in Japanese individuals with and without type 2 diabetes (T2DM). We enrolled 115 individuals diagnosed with OSA with an apnea hypopnea-index (AHI) ≥ 20 in whom continuous positive airway pressure (CPAP) therapy was introduced (N = 115, 44 with T2DM, age 62 ± 11 years, BMI 27.0 ± 4.4 kg/m(2) and AHI median 36.1; interquartile range 27.2-48.1). During admission, the severity o...
Conclusions: There are significant discrepancies in the care provided to children with NAFLD by hepatologists practicing in academic centers across Canada.