Severe obstructive sleep apnea treatment with mandibular advancement device: A case report

Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to repo...

Full description

Saved in:
Bibliographic Details
Published inSleep science (Sao Paulo, Brazil) Vol. 11; no. 2; pp. 118 - 122
Main Authors Guimarães, Maria de Lourdes Rabelo, Hermont, Ana Paula, Guimarães, Thais Moura, Dal-Fabbro, Cibele, Bittencourt, Lia, Chaves Junior, Cauby Maia
Format Journal Article
LanguageEnglish
Published Brazil Brazilian Association of Sleep and Latin American Federation of Sleep 01.01.2018
Thieme Revinter Publicações Ltda
Subjects
Case Report
Mandibular Advancement
Polysomnography
Sleep Apnea, Obstructive
Mandibular Advancement
Polysomnography
Sleep Apnea, Obstructive
Online AccessGet full text

Cover

More Information
Summary:Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to report a case using a MAD in a CPAP-intolerant patient suffering from severe OSA. Polysomnography exams were performed before and after treatment. Five months after fitting and titrating the MAD, the AHI was reduced from 80.5 events/hour to 14.6 events/hour and the minimum oxyhemoglobin saturation (SpO ) increased from 46% to 83%. A two-year assessment of therapy revealed an AHI of 8 events/hour and SpO of 85%.
ISSN:1984-0659
1984-0063
DOI:10.5935/1984-0063.20180022