TY - JOUR
T1 - Functional Upper Airway Space Endoscopy: A Prognostic Indicator in Obstructive Sleep Apnea Treatment with Mandibular Advancement Devices
AU - Gasparini, Giulio
AU - Saponaro, Gianmarco
AU - Todaro, Mattia
AU - Ciasca, Gabriele
AU - Cigni, Lorenzo
AU - Doneddu, Piero
AU - Azzuni, Camillo
AU - Foresta, Enrico
AU - De Angelis, Paolo
AU - Barbera, Giorgio
AU - Parcianello, Roberta Gaia
AU - Hreniuc, Horia Vasile
AU - Moro, Alessandro
PY - 2021
Y1 - 2021
N2 - Purpose: The use of a mandibular advancement device (MAD) in the treatment of obstructive sleep apnea (OSA) is a consolidated therapy. This study aimed to evaluate the predictive value of awake upper airways (UA) functional endoscopy in identifying the outcome of MAD therapy. Methods: This observational prospective study included 30 adult OSA patients, all patients underwent pre-treatment awake UA functional endoscopy, during the exam subjects were instructed to advance their mandible maximally, and they were divided into three different groups according to the response of the soft tissue, group A (expansion), group B (stretch), group C (unchanged). The results of this test were used in combination with other noninvasive indexes to predict the treatment outcome in terms of apnea-hypopnea index (AHI) reduction. Results: We found that a substantial AHI reduction occurred in group A and group B while e slight AHI reduction was measured in group C. Conclusion: Based on our experience the awake UA endoscopy is a valid prognostic exam for discriminating responder and non-responder patients; in addition our results indicate the possibility of predicting a range of post-treatment AHI index values.
AB - Purpose: The use of a mandibular advancement device (MAD) in the treatment of obstructive sleep apnea (OSA) is a consolidated therapy. This study aimed to evaluate the predictive value of awake upper airways (UA) functional endoscopy in identifying the outcome of MAD therapy. Methods: This observational prospective study included 30 adult OSA patients, all patients underwent pre-treatment awake UA functional endoscopy, during the exam subjects were instructed to advance their mandible maximally, and they were divided into three different groups according to the response of the soft tissue, group A (expansion), group B (stretch), group C (unchanged). The results of this test were used in combination with other noninvasive indexes to predict the treatment outcome in terms of apnea-hypopnea index (AHI) reduction. Results: We found that a substantial AHI reduction occurred in group A and group B while e slight AHI reduction was measured in group C. Conclusion: Based on our experience the awake UA endoscopy is a valid prognostic exam for discriminating responder and non-responder patients; in addition our results indicate the possibility of predicting a range of post-treatment AHI index values.
KW - AHI
KW - FUNCTIONAL ENDOSCOPY
KW - MAD
KW - OSAS
KW - AHI
KW - FUNCTIONAL ENDOSCOPY
KW - MAD
KW - OSAS
UR - https://publicatt.unicatt.it/handle/10807/170430
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85101683704&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85101683704&origin=inward
U2 - 10.3390/ijerph18052393
DO - 10.3390/ijerph18052393
M3 - Article
SN - 1660-4601
VL - 18
SP - 2393-N/A
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 5
ER -