Journal ArticleDOI
4-Year Follow-up of Treatment With Dental Appliance or Uvulopalatopharyngoplasty in Patients With Obstructive Sleep Apnea: A Randomized Study
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The dental-appliance group showed significantly higher success and normalization rates regarding the somnographic variables compared to the UPPP group, but the effectiveness of the dental appliance was partly invalidated by the compliance of 62% at the 4-year follow-up.About:
This article is published in Chest.The article was published on 2002-03-01. It has received 218 citations till now. The article focuses on the topics: Uvulopalatopharyngoplasty & Obstructive sleep apnea.read more
Citations
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Journal ArticleDOI
Obstructive sleep apnoea
Atul Malhotra,David P. White +1 more
TL;DR: Continuous positive airway pressure, the treatment of choice for obstructive sleep apnoea, reduces sleepiness and improves hypertension.
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Oral appliances for snoring and obstructive sleep apnea: a review.
TL;DR: The literature of OA therapy for OSA now provides better evidence for the efficacy of this treatment modality and considerable guidance regarding the frequency of adverse effects and the indications for use in comparison to CPAP and UPPP.
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Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians
TL;DR: This guideline grades the evidence and recommendations using ACP's clinical practice guidelines grading system and recommends that all overweight and obese patients diagnosed with OSA should be encouraged to lose weight.
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Oral appliances for obstructive sleep apnoea
TL;DR: Until there is more definitive evidence on the effectiveness of oral appliances, it would appear to be appropriate to restrict oral appliance therapy to patients with sleep apnoea who are unwilling or unable to comply with continuous positive airways pressure therapy.
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Oral appliance treatment for obstructive sleep apnea: An update
Kate Sutherland,Olivier M. Vanderveken,Hiroko Tsuda,Marie Marklund,Frédéric Gagnadoux,Clete A. Kushida,Peter A. Cistulli +6 more
TL;DR: There is robust evidence of the efficacy of oral appliances for improving polysomnographic indices and modifying the health risk associated with OSA, and the current evidence suggests a similar impact on health outcomes as CPAP.
References
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Journal ArticleDOI
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
TL;DR: The prevalence of undiagnosed sleep-disordered breathing is high among men and is much higher than previously suspected among women, and is associated with daytime hypersomnolence.
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Mortality and apnea index in obstructive sleep apnea: experience in 385 male patients
TL;DR: In this article, the authors calculated cumulative survival in 385 male obstructive sleep apnea patients and found that those with an apnea index (AI) greater than 20 had a much greater mortality than those with AI = less than 20.
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The Efficacy of Surgical Modifications of the Upper Airway in Adults With Obstructive Sleep Apnea Syndrome
TL;DR: Analysis of the uvulopalatopharyngoplasty papers revealed that this procedure is, at best, effective in treating less than 50% of patients with obstructive sleep apnea syndrome, and the basis for the American Sleep Disorders Association's practice parameters on this subject is provided.
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Surgical Correction of Anatomic Abnormalities in Obstructive Sleep Apnea Syndrome: Uvulopalatopharyngoplasty:
TL;DR: A new surgical approach to treat obstructive sleep apnea by uvulopalatopharyngoplasty designed to enlarge the potential airspace in the oropharynx, which shows objective improvement in nocturnal respiration and sleep pattern.
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Long-term Outcome for Obstructive Sleep Apnea Syndrome Patients: Mortality
TL;DR: In this article, a follow-up study of 198 obstructive sleep apnea patients seen at the Stanford Sleep Disorders Clinic between 1972 and 1980, for whom either tracheostomy (71 patients) or weight loss (127 patients) had been recommended.