Submental intubation for maxillomandibular advancement improves short-term nasal breathing outcomes

This study was a prospective, single cohort of consecutive adult patients undergoing MMA surgery for OSA at a single institution. The primary outcome measure was the development of nasal obstruction using the Nasal Obstruction Symptom Evaluation scale. Secondary outcomes included the rate of reintubation, submandibular duct function, development of neck infection, the need for subsequent surgical correction of nasal obstruction, and changes in the Apnea-Hypopnea Index.ResultsTwenty consecutive patients (85% male, mean age 47 years) were included in the study. Nasal Obstruction Symptom Evaluation scores improved in 88% of patients, with a mean improvement from 46.6 ± 28.9 to 15.9 ± 20.9 at 3 months (P
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research

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PURPOSE: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned fa...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news
AbstractObjectiveSleep quality is vital for healthy development in children. Sleep disorders are prevalent and negatively affect sleep quality. Early identification and appropriate intervention can improve children ’s health and quality of life. The current reference standard, polysomnography (PSG) has limitations regarding availability, cost, and access and may not replicate normal sleep patterns in the home. Simple, accurate sleep tests, available for repeated testing should be beneficial in management of sleep disorders.MethodSecondary analysis of PSG data from the prospective multicenter Childhood Adenotonsillect...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
These are unprecedented times. Given the real and tangible threat of the coronavirus pandemic on personal, community, and societal levels, it is normal to experience anxiety and sleep problems. Sleep is a reversible state marked by a loss of consciousness to our surroundings, and as members of the animal kingdom, our brains have evolved to respond to dangers by increasing vigilance and attention — in other words, our brains are protecting us, and by doing so it’s harder for us to ignore our surroundings. Despite the threat of the coronavirus and its rapid and pervasive disruption to our daily lives, many of us ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Sleep Stress Source Type: blogs
Condition:   Snoring Intervention:   Device: nasofibroscopy Sponsor:   Assiut University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Horm Metab Res DOI: 10.1055/a-1133-7255The coexistence of aldosterone oversecretion and obstructive sleep apnea is frequently observed, especially in patients with resistant hypertension, obesity, and metabolic syndrome. Since aldosterone excess and sleep apnea are both independently associated with an increased risk of cardiovascular disease, to investigate whether their coexistence might be attributed to common predisposing conditions, such as metabolic disorders, or to an actual pathophysiological interconnection appears of great importance. Fluid overload and metabolic abnormalities relating to aldosterone oversecretio...
Source: Hormone and Metabolic Research - Category: Endocrinology Authors: Tags: Review Source Type: research
ConclusionsThe three OSA phenotypes from multi-perspective clustering may provide a basis for precise therapeutic decision-making including craniofacial skeletal intervention beyond usual characterization of OSA subgroups.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
IntroductionUnrefreshing sleep is one of the diagnostic criteria in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), which could be explained by sleep disorders, for example obstructive sleep apnea, reported in our previous study with polysomnography. Our previous findings also indicate difficulties in emotional regulation when measuring alexithymia by TAS-20 (Toronto Alexithymia Scale) and level of emotional awareness by LEAS (Level of Emotional Awareness Scale) in ME/CFS patients. However, the reasons for this are unknown. The purpose of this study was to investigate correlations between data from subjective ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Obstructive sleep apnea is a common condition, caused primarily by narrowing of the nasal and pharyngeal airway, leading to partial or complete airway collapse during sleep. Treatment with positive airway pressure (PAP) is considered first-line therapy, due to an efficacy rate of approximately 95%, yet long-term compliance with PAP is less than 40%. The efficacy of a sleep oral appliance is lower than PAP, yet it may have similar effectiveness. A sleep oral appliance is a reasonable second-line therapy for patients who refuse or fail PAP and may be reasonable first-line therapy.
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
Conditions:   Obstructive Sleep Apnea;   Pediatric Sleep Apnea Intervention:   Diagnostic Test: INVOS Sponsor:   Tel-Aviv Sourasky Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Sleep dysfunction is not a normal part of aging and impairs the quality of life, function and health of the older adult. Common sleep disorders affecting the older adult are insomnia, obstructive sleep apnea, and restless legs syndrome. The multidisciplinary treatment of sleep complaints in the older adult, includes pharmacological and non-pharmacological/behavioral interventions. In addition, the geriatric specialist is in a unique opportunity to offer guidance on the use of consumer sleep technologies.
Source: The American Journal of Geriatric Psychiatry - Category: Geriatrics Authors: Tags: Session 302 Source Type: research
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