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| Artikel
nr. |
001 |
| Hoofdonderwerp |
MRA bijzonder effectief
als hulpmiddel voor het behandelen van snurken en
obstructieve slaapapneu |
| Titel |
State-of-the-art in
de behandeling van snurken en slaapapneu |
| Ondertitel |
Behandeling snurken
en slaapapneu |
| Publicatiedatum |
januari 2003 |
| Auteurs |
Dr. H.J. Remmelink |
| Tijdschrift |
Nederlands Tijdschrift
Tandheelkunde 2003; 110 38-44 |
| Aantal
pagina's |
8 |
| Link |
http://www.snurken.info/bijlages/publicatie_remmelink.pdf |
| Taal |
Nederlands |
| Abstract |
Orale hulpmiddelen
zijn tegenwoordig algemeen geaccepteerde hulpmiddelen
voor het behandelen van snurken en obstructieve
slaapapneu. Wetenschappelijk onderzoek heeft aangetoond
dat vooral mandibulaire repositieapparatuur (MRA)
bijzonder effectief is. Patiënten accepteren
de apparatuur goed. De laatste jaren is
de belangstelling voor MRA bij de behandeling van
snurken en slaapapneu enorm toegenomen. In dit artikel
wordt een overzicht gegeven van de state-of-the-art
in de behandeling van snurken en slaapapneu.
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| Artikel
nr. |
002 |
| Hoofdonderwerp |
Obstructive Sleep
Apnea |
| Titel |
Health Consequences
of OSA |
| Ondertitel |
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| Publicatiedatum |
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| Auteurs |
SLEEP SOLUTIONS |
| Tijdschrift |
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| Aantal
pagina's |
6 |
| Link |
http://www.apnea.com/phys/phys_conseq_osa.htm |
| Taal |
Engels |
| Abstract |
For those patients
with significant OSA, going to sleep can pose
a significant health risk. Obstructive apneas produce
profound haemodynamic changes. Each obstructive
event is associated with cyclical increases in systemic
and pulmonary artery pressure.
The apnea related hypoxemia can cause O2 saturation
to drop, sometimes dramatically.
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| Artikel
nr. |
003 |
| Hoofdonderwerp |
To evaluate an adjustable
mandibular positioning appliance for treatment of
snoring and sleep apnea |
| Titel |
Evaluation of Variable
Mandibular Advancement Appliance for Treatment of
Snoring and Sleep Apnea |
| Ondertitel |
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| Publicatiedatum |
1999 |
| Auteurs |
Department of Medicine,
Respiratory Division, St. Michael's Hospital, University
of Toronto, Ontario, Canada: Jeffrey Pancer, DDS;
Salem Al-Faifi, MD; Mohamed Al-Faifi, MD and Victor
Hoffstein, PhD, MD, FCCP |
| Tijdschrift |
Chest Journal 1999;
116:1511-1518 |
| Aantal
pagina's |
16 |
| Link |
http://www.chestjournal.org/cgi/content/full/116/6/1511 |
| Taal |
Engels |
| Abstract |
Objective: To evaluate
an adjustable mandibular positioning appliance for
treatment of snoring and sleep apnea.
Methods: One hundred thirty-four patients with baseline
apnea/hypopnea index (AHI) of 37 ± 28 events/h
(mean ± SD) received the appliance. The efficacy
of the appliance was assessed by the following investigations,
performed at baseline and with the appliance: polysomnography,
Epworth sleepiness scale, bedpartners' assessment
of snoring severity, patients' assessment of side
effects, and overall satisfaction.
Results: Thirteen patients were lost to follow-up.
An additional 46 patients had no follow-up polysomnography,
but answered the questionnaires. A total of 75 patients
had polysomnography at baseline and with the appliance.
We found a significant reduction in AHI from 44
± 28 events/h to 12 ± 15 events/h
(p < 0.0005) and a reduction in the arousal index
from 37 ± 27 events/h to 16 ± 13 events/h
(p < 0.05). Epworth scores fell from 11 ±
5 to 7 ± 3 (p < 0.0005). Bedpartners'
assessment revealed marked improvement in snoring.
For example, at baseline 96% of patients were judged
to snore loudly "often" or "always"
by their bedpartners, whereas only 2% were judged
so while using dental appliance. The most frequent
side effect was teeth discomfort, present "sometimes"
or "often" in up to 32% of patients. Follow-up
clinical assessment in 121 patients conducted on
the average 350 days after the insertion of the
appliance revealed that 86% of patients continued
to use the appliance nightly; 60% were very satisfied
with the appliance, 27% were moderately satisfied,
11% were moderately dissatisfied, and 2% were very
dissatisfied.
Conclusion: We conclude that the adjustable mandibular
positioning appliance is an effective treatment
alternative for some patients with snoring and sleep
apnea.
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