Oral Appliances for Snoring and Obstructive Sleep Apnea

被引：21
|
作者：
Mickelson, Samuel A. [1 ]
机构：
[1] Atlanta Snoring & Sleep Disorders Inst, Adv Ear Nose & Throat Associates, 960 Johnson Ferry Rd NE,Suite 200, Atlanta, GA 30342 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2020年 / 53卷 / 03期
关键词：
Sleep oral appliance; Mandibular advancement device (MAD); Oral appliance therapy (OAT); Primary snoring; Obstructive sleep apnea syndrome; OSAS; POSITIVE AIRWAY PRESSURE; MANDIBULAR ADVANCEMENT DEVICES; RANDOMIZED CONTROLLED-TRIAL; LONG-TERM COMPLIANCE; BLOOD-PRESSURE; OBJECTIVE MEASUREMENT; NASAL CPAP; THERAPY; EFFICACY; SPLINT;
D O I：
10.1016/j.otc.2020.02.004
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
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.
引用
收藏
页码：397 / +
页数：12
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