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Journal ArticleDOI

Lateral Pharyngeal Wall Tension After Maxillomandibular Advancement for Obstructive Sleep Apnea Is a Marker for Surgical Success: Observations From Drug-Induced Sleep Endoscopy

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TLDR
It is observed that after MMA, the greatest reduction in upper airway collapsibility is seen at the lateral pharyngeal wall of the oropharynx, followed by the velum, and then the tongue base, a marker of surgical success after MMA.
About
This article is published in Journal of Oral and Maxillofacial Surgery.The article was published on 2015-08-01. It has received 75 citations till now. The article focuses on the topics: Sleep surgery & Maxillomandibular advancement.

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Citations
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Journal ArticleDOI

Systematic Review of Drug-Induced Sleep Endoscopy Scoring Systems:

TL;DR: There is no consensus regarding which scoring system should be utilized to report findings during drug-induced sleep endoscopy (DISE), and the VOTE system and the Pringle and Croft classification were the most frequent scoring systems reported for patients undergoing DISE.
Journal ArticleDOI

Phenotypic Labelling Using Drug-Induced Sleep Endoscopy Improves Patient Selection for Mandibular Advancement Device Outcome: A Prospective Study.

TL;DR: Three baseline DISE phenotypes identified during drug-induced sleep were significantly related to MAD treatment outcome: one beneficial, tongue base collapse, and two adverse, complete concentric collapse at the level of the palate and complete laterolateral oropharyngeal collapse.
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Maxillomandibular advancement is a successful treatment for obstructive sleep apnoea: a systematic review and meta-analysis.

TL;DR: The results showed that the preoperative severity of OSA based on AHI and RDI significantly influences the outcome of MMA intervention, with a strong positive correlation between the pre MMA AHI values and the percentage change post intervention.
Journal ArticleDOI

Dynamic upper airway collapse observed from sleep MRI: BMI-matched severe and mild OSA patients.

TL;DR: Severe OSA patients present with more lateral pharyngeal wall collapse as compared to BMI-matched mild OSA customers, and this is a prospective, nested case–control study using dynamic sleep MRI.
References
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Journal ArticleDOI

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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Obstructive Sleep Apnea Syndrome: A Review of 306 Consecutively Treated Surgical Patients

TL;DR: It is concluded that a comprehensive presurgical evaluation allows a logical approach to reconstruction of the upper airway, and patients who complete the surgical protocol have a greater than 95% long-term success rate, which is superior to any other treatment modality.
Journal ArticleDOI

Drug-induced sleep endoscopy: the VOTE classification.

TL;DR: The VOTE classification is presented, a method for characterizing DISE findings that focuses on its core feature, the specific structures that contribute to obstruction, and is presented as a major limitation in advancing the understanding of drug-induced sleep endoscopy.
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Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea.

TL;DR: The technique of sleep nasendoscopy is presented which allows direct visualization of the site or sites of obstruction in a sleeping patient and it is felt that this form of preoperative assessment will avoid unnecessary surgery.
Journal ArticleDOI

Maxillomandibular advancement for the treatment of obstructive sleep apnea: A systematic review and meta-analysis

TL;DR: It is concluded that MMA is a safe and highly effective treatment for OSA with improvements in quality of life measures and most OSA symptomatology.
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