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ORTA OBSTRÜKTİF UYKU APNE SENDROMLU BİR OLGUDA MANDİBULAR İLERLETİCİ SPLİNTİN ÜSTÜN ETKİSİNİN SEFALOMETRİK VE POLİSOMNOGRAFİK OLARAK GÖSTERİLMESİ

CEPHALOGRAPHIC AND POLYSOMNOGRAPHIC EVALUATION OF EXCELLENT EFFICIACY OF THE MANDIBULAR ADVANCEMENT SPLINT IN A PATIENT WITH MODERATE OBSTRUCTIVE SLEEP APNEA SYNDROME

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Obstructive sleep apnea syndrome (OSAS) is a chronic disorder of sleep and breathing characterized by recurrent obstruction of the upper airway. Oral appliances are used to treat mild-to-severe OSAS when nasal continuous positive airway pressure (nCPAP) treatment is not tolerated or refused by the patient. A 52-year-old male referred to the Department of Chest Diseases with snoring and excessive daytime sleepiness. He was diagnosed as moderate OSAS and refused to be treated with nCPAP. He was given mandibular advancement splint (MAS) therapy and his compliance to the device was expressive. After 6 months treatment, all his symptoms related to OSAS were improved. Polysomnographic (PSG) evaluation showed decrease in his apnea-hypopnea index (AHI) from 27 events per hour to 0.5 events per hour. Besides, the cephalometric evaluation revealed increase in naso-oro-hypopharynx spaces and posterior airway space. The distance between mandibular plane and hyoid decreased, since hyoid bone had been elevated to the front and up with the appliance. In conclusion, nCPAP is the first choice of treatment in moderate and severe OSAS. However, if the patients refuse or show no adherence to CPAP therapy, oral appliances can be used successfully.
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Abstract (Original Language): 
Obstrüktif Uyku Apne Sendromu (OUAS) üst hava yolunun tekrarlanan tıkanmalarınca karakterize uyku ve solunumun kronik bir düzensizliğidir. Oral Apareyler (OA) hafif ve hastalar tarafından nasal Devamlı Pozitif Havayolu Basıncı(nDPHB)nı tolere edilemeyen veya ret edilen ağır OUAS'nu tedavi etmek için kullanılmaktadırlar. 52 yaşında erkek bir hasta horlama, aşırı güniçi uykululuk semptomları ile Göğüs Hastalıkları A. D.'na başvurdu. Orta OUAS teşhis edildi, ve NDPHB ile tedavi edilmeyi ret etti. Hastaya Mandibuler İlerletici Splint (MİS) terapisi verildi, ve ağız içi aygıta uyumu yüksekti. Tedaviden 6 ay sonra, OUAS ile ilişkili tüm semptomlar düzeldi. Polisomnografik (PSG) değerlendirme hastanın Apne-Hipopne İndeksi (AHİ)nin saatte 27'den 0.5'e düştüğünü gösterdi. Ayrıca, sefalometrik inceleme oro-farinks alanı ve Posterior Havayolu Alanı (PHA)da artışı gösterdi. Hyoid kemiği aparey ile öne ve yukarı kaldırılmış olduğu için, Mandibuler Düzlem ve Hyoid arasındaki mesafe (MD-H) azaldı. MİS terapisi OUAS'lı uygun endikasyonlu hastalarda başarılı olarak kullanılabilmektedir.
FULL TEXT (PDF): 
PDF icon arastirmax-orta-obstruktif-uyku-apne-sendromlu-bir-olguda-mandibular-ilerletici-splintin-ustun-etkisinin-sefalometrik-polisomnografik-olarak-gosterilmesi.pdf
  • 1
31-36
  • Turkish

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