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The Effect of Positional Dependency on Outcomes of Treatment With a Mandibular Advancement Device
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Chul Hee | - |
dc.contributor.author | Jung, Hahn Jin | - |
dc.contributor.author | Lee, Woo Hyun | - |
dc.contributor.author | Rhee, Chae Seo | - |
dc.contributor.author | Yoon, In Young | - |
dc.contributor.author | Yun, Pil Young | - |
dc.contributor.author | Kim, Jeong Whun | - |
dc.date.accessioned | 2024-05-01T01:36:24Z | - |
dc.date.available | 2024-05-01T01:36:24Z | - |
dc.date.created | 2021-02-25 | - |
dc.date.issued | 2012-05 | - |
dc.identifier.citation | Archives of Otolaryngology - Head and Neck Surgery, Vol.138 No.5, pp.479-483 | - |
dc.identifier.issn | 0886-4470 | - |
dc.identifier.uri | https://hdl.handle.net/10371/200199 | - |
dc.description.abstract | Objective: To evaluate retrospectively the efficacy of the mandibular advancement device (MAD) in patients with obstructive sleep apnea in terms of positional dependency. Design: Retrospective analysis. Setting: Academic tertiary referral center. Patients: One hundred patients with obstructive sleep apnea treated with the MAD at the Department of Otorhinolaryngology sleep clinic were included from January 1, 2005, through December 31, 2010. Interventions: All patients underwent nocturnal full-night polysomnography before and at least 3 months after intraoral MAD application. Main Outcome Measures: Treatment results and prognostic factors deciding the success of MAD application. Results: Of the 100 patients, 80 showed positional dependency and 20 showed nondependency. In the position-dependent obstructive sleep apnea group, the median (interquartile range) apnea-hypopnea index (AHI) decreased from 32.1 (24.4-41.9) to 8.6 (3.7-13.8) (P<.001); in the nondependent group, from 56.4 (26.2-71.5) to 15.7 (6.8-30.7) (P<.001). The success rate (AHI reduction >= 50% and AHI <10) was 57.5% and 30.0% in position-dependent and position-nondependent groups, respectively (P=.04). Conclusion: Identifying patients with obstructive sleep apnea as position dependent or nondependent may have important therapeutic implications in predicting the outcome of MAD treatment. | - |
dc.language | 영어 | - |
dc.publisher | American Medical Association | - |
dc.title | The Effect of Positional Dependency on Outcomes of Treatment With a Mandibular Advancement Device | - |
dc.type | Article | - |
dc.identifier.doi | 10.1001/archoto.2012.452 | - |
dc.citation.journaltitle | Archives of Otolaryngology - Head and Neck Surgery | - |
dc.identifier.wosid | 000305415100007 | - |
dc.identifier.scopusid | 2-s2.0-84861462832 | - |
dc.citation.endpage | 483 | - |
dc.citation.number | 5 | - |
dc.citation.startpage | 479 | - |
dc.citation.volume | 138 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Lee, Chul Hee | - |
dc.contributor.affiliatedAuthor | Rhee, Chae Seo | - |
dc.contributor.affiliatedAuthor | Yoon, In Young | - |
dc.contributor.affiliatedAuthor | Yun, Pil Young | - |
dc.contributor.affiliatedAuthor | Kim, Jeong Whun | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | OBSTRUCTIVE SLEEP-APNEA | - |
dc.subject.keywordPlus | ORAL APPLIANCE THERAPY | - |
dc.subject.keywordPlus | BREATHING DISORDERS | - |
dc.subject.keywordPlus | CONTROLLED TRIAL | - |
dc.subject.keywordPlus | AIRWAY PRESSURE | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | ADULTS | - |
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