Randomized crossover study of tongue-retaining device and positive airway pressure for obstructive sleep apnea.

Randomized crossover study of tongue-retaining device and positive airway pressure for obstructive sleep apnea. Sleep Breath. 2019 Nov 21;: Authors: Banhiran W, Durongphan A, Keskool P, Chongkolwatana C, Metheetrairut C Abstract PURPOSE: To compare the efficacy of tongue-retaining device (TRD) versus continuous positive airway pressure (CPAP) for treatment of obstructive sleep apnea (OSA). STUDY DESIGN: Randomized crossover study. SUBJECTS AND METHODS: Thirty-six patients with a mean age of 52.7 ± 10.6 years were enrolled. Inclusion criteria were age ≥ 18 years, apnea-hypopnea index (AHI) ≥ 5 events/h, and minimum oxygen saturation (SO2) ≥ 70% from polysomnography (PSG). Exclusion criteria were severe periodontal disease, unstable cardiopulmonary or neurological diseases, and/or total sleep time
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research

Related Links:

Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Authors: Source Type: research
AbstractPurpose of ReviewThe prevalence of sleep-disordered breathing has greatly increased in the geriatric population.Recent FindingsThe pathophysiology of sleep-disordered breathing for this population varies from younger populations due to consequences of aging such as loss of neuromuscular tone, soft tissue hypertrophy, and tissue laxity. The importance of treating obstructive sleep apnea is obvious as it is linked to detrimental cardiovascular and cerebrovascular risks with additional effects on quality of life.SummaryTreatment of older patients is best met by evaluating their goals of treatment and meeting it with o...
Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research
Crouzon syndrome is an autosomal dominant inheritance that affects the FGFR2 receptors, manifesting as craniosynostosis of the coronal and sagittal sutures. This clinical case reports the treatment of 47-year-old patient C.A.P. whose main complaint was related to obstructive sleep apnea. He reported other syndromic characteristics such as phonetic difficulty, respiratory and masticatory pain, bilateral pain in the temporomandibular joint, and headaches. Clinically, maxillary hypoplasia was observed, associated with exophthalmos and mandibular prognathism.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Conclusions:We describe data-driven ISI profiles in veterans with OSA. Older age was associated with lower insomnia and daytime symptom complaints whereas psychological comorbidities were related to more severe insomnia. Caution should be used in interpreting the ISI score in individuals with OSA because a subset had elevated total scores without insomnia.Citation:Wallace DM, Wohlgemuth WK. Predictors of Insomnia Severity Index profiles in United States veterans with obstructive sleep apnea.J Clin Sleep Med. 2019;15(12):1827–1837.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Orcades is the largest long-term prospective multicentre cohort study evaluating mild-to-severe OSA patients (pts) who refused or were not compliant with CPAP therapy, treated with CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) MRD.Methods: 332 OSA pts fitted with a ResMed MRD (Narval CC™) are evaluated over 5 years. Respiratory and sleep data, symptoms, quality of life, compliance &side effects at 5-year follow-up (FU) are presented.Results: 52% of pts treated with MRD were still in the study after 5-year FU. 8.7% stopped prematurely MRD for lack of efficacy, 11.4% for side effects, 6.6% returned t...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
This study aims to explore the effects of low-temperature plasma treatment on pulmonary function in children with OSAHS.MethodsA total of 110 children with OSAHS were included in this prospective study. Low-temperature plasma radiofrequency treatment and routine surgical treatment were performed in group A and group B, respectively. Maximal voluntary ventilation (MVV), forced vital capacity (FVC), and total lung capacity (TLC) were measured. OSA-18 survey was used to evaluate the quality of life 1 year after operation.ResultsGroup A had significantly higher effective treatment rate (P
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
A 40-year-old man was treated with tonsillectomy and underwent early surgical exploration because of bleeding. Postoperative bleeding complications were treated with bronchoscopy. In addition to obesity, normal thyroid function, type 2 diabetes mellitus, and current tobacco abuse with severe obstructive sleep apnea syndrome, biochemistry revealed severe hypercholesterolemia (total cholesterol 572 mg/dL) and hypertriglyceridemia (1,220 mg/dL). During the postoperative period, low doses of propofol (up to 2 mg/kg/h for 10 hours), along with remifentanil (up to 0.0016 mg/kg/h for 20 hours), midazolam, and tramadol, were neede...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
Purpose of review Ambulatory surgery is the standard for the majority of pediatric surgery in 2019 and adenotonsillectomy is the second most common ambulatory surgery in children so it is an apt paradigm. Preparing and managing these children as ambulatory patients requires a thorough understanding of the current literature. Recent findings The criteria for undertaking pediatric adenotonsillectomy on an ambulatory basis, fasting after clear fluids, postoperative nausea and vomiting (PONV), perioperative pain management and discharge criteria comprise the themes addressed in this review. Summary Three criteria deter...
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: AMBULATORY ANESTHESIA: Edited by Claude Meistelman Source Type: research
Publication date: Available online 5 October 2019Source: American Journal of OtolaryngologyAuthor(s): Roman Povolotskiy, Mickey E. Abraham, Adam B. Leverant, Amishav Bresler, Boris PaskhoverAbstractPurposeThe Pillar Palatal Implant System is a minimally invasive procedure for the treatment of obstructive sleep apnea and snoring. Prior studies have examined the effectiveness of this procedure, however no prior study has thoroughly evaluated its complications. We anticipate that this analysis will provide valuable insight into these procedures which can be used in patient education and post-operative follow-up.Materials and ...
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
Osteoarthritis (OA) is a common condition of the hip. Patients with hip OA often report nocturnal pain, yet little is known how it affects sleep quality. The purpose of this paper was to assess how hip arthritis affects sleep quality. We hypothesized that hip pain caused by hip OA affects sleep quality in adult patients. This is a prospective, cross-sectional study of patients who were diagnosed with hip OA. Patients were evaluated using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), hip outcome score (HOS), and modified Harris hip score (mHHS). Sleep quality was assessed using Pittsburgh Sleep Qu...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
More News: Brain | Cardiology | Heart | Neurology | Obstructive Sleep Apnea | Pain | Sleep Apnea | Sleep Disorders | Sleep Medicine | Study