Optimizing Mandibular Advancement Maneuvers during Sleep Endoscopy with a Titratable Positioner: DISE-SAM Protocol
Por:
Fernandez-Sanjuan, P, Arrieta, J, Sanabria, J, Alcaraz, M, Bosco, G, Perez-Martin, N, Perez, A, Carrasco-Llatas, M, Moreno-Hay, I, Rios-Lago, M, Lugo, R, O'Connor-Reina, C, Baptista, P and Plaza, G
Publicada:
1 feb 2022
Categoría:
Medicine (miscellaneous)
Resumen:
Mandibular advancement devices (MAD) are an effective alternative treatment to CPAP. Different maneuvers were performed during drug sleep-induced endoscopy (DISE) to mimic the effect of MAD. Using the Selector Avance Mandibular (SAM) device, we aimed to identify MAD candidates during DISE using a titratable, reproducible, and measurable maneuver. This DISE-SAM protocol may help to find the relationship between the severity of the respiratory disorder and the degree of response and determine the advancement required to improve the collapsibility of the upper airway. Explorations were performed in 161 patients (132 males; 29 females) with a mean age of 46.81 (SD = 11.42) years, BMI of 27.90 (SD = 4.19) kg/m(2), and a mean AHI of 26.51 (SD = 21.23). The results showed no relationship between severity and MAD recommendation. Furthermore, there was a weak positive relationship between the advancement required to obtain a response and the disease severity. Using the DISE-SAM protocol, the response and the range of mandibular protrusion were assessed, avoiding the interexaminer bias of the jaw thrust maneuver. We suggest prescribing MAD as a single, alternative, or multiple treatment approaches following the SAM recommendations in a personalized design.
Filiaciones:
Fernandez-Sanjuan, P:
Univ Rey Juan Carlos, Dept Maxillofacial Surg & Dent, Hosp Univ San Francisco de Asis, Madrid 28002, Spain
Hosp Univ Sanitas La Zarzuela, Dent Sleep Med, Madrid 28942, Spain
Arrieta, J:
Hosp Univ Fdn Jimenez Diaz, Dept Stomatol, Madrid 28040, Spain
Sanabria, J:
Hosp Univ Fdn Jimenez Diaz, Dept Otolaryngol Head & Neck Surg, Madrid 28040, Spain
Alcaraz, M:
Hosp Univ Sanitas La Zarzuela, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Bosco, G:
Hosp Univ Sanitas La Zarzuela, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Univ Rey Juan Carlos, Hosp Univ Fuenlabrada, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Perez-Martin, N:
Hosp Univ Sanitas La Zarzuela, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Univ Rey Juan Carlos, Hosp Univ Fuenlabrada, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Perez, A:
Hosp La Milagrosa, Dept Otolaryngol Head & Neck Surg, Madrid 28010, Spain
:
Hosp Univ Dr Peset, Dept Otolaryngol Head & Neck Surg, Valencia 46017, Spain
Moreno-Hay, I:
Univ Kentucky, Coll Dent, Dept Oral Hlth Sci, Div Orofacial Pain, Lexington, KY 40536 USA
Rios-Lago, M:
UNED, Dept Basic Psychol 2, Fac Psychol, Madrid 28040, Spain
Lugo, R:
Hosp San Jose, Dept Otolaryngol Head & Neck Surg, Monterrey 64718, Mexico
O'Connor-Reina, C:
Hosp Quironsalud Marbella, Dept Otolaryngol Head & Neck Surg, Marbella 29603, Spain
Hosp Quironsalud Campo Gibraltar, Dept Otolaryngol Head & Neck Surg, Palmones 11379, Spain
Baptista, P:
Clin Univ Navarra, Dept Otolaryngol Head & Neck Surg, Pamplona 31008, Spain
Plaza, G:
Hosp Univ Sanitas La Zarzuela, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
Univ Rey Juan Carlos, Hosp Univ Fuenlabrada, Dept Otolaryngol Head & Neck Surg, Madrid 28942, Spain
gold, Green Submitted, Green Published
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