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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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폐쇄성 수면무호흡증 환자에서 성공적인 치료 결과에 도달하기 위한 구강장치 치료의 고려사항

Consideration of oral appliance to achieve successful treatment outcome of patients with obstructive sleep apnea

Abstract

Oral appliances are the main alternative to continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea(OSA). Treatment of OSA with oral appliance (OA) could provide an equivalent health benefit to achieve the best possible health outcomes. But not all outcome of OA treatment is successful. The challenge of predicting which patients will not receive therapeutic benefit from OA remains a barrier to the more widespread use of this therapy. This review summarizes some of the putative action mechanisms related to oral appliance effectiveness, side effects and its management, and on patient acceptability and treatment adherence are discussed.

keywords
Obstructive sleep apnea, oral appliance, side effects, adherence, precision medicine

참고문헌

1.

1. Andrew S. L. Chan, Kate Sutherland & Peter A. Cistulli Mandibularadvancement splints for the treatment of obstructive sleep apnea, Expert Review of Respiratory Medicine 2019 https://doi.org/10.1080/17476348.2020.1686978

2.

2. Bamagoos AA, Sutherland K, Cistulli PA. Mandibular Advancement Splints. Sleep Med Clin. 2016;11(3):343-52.

3.

3. Sutherland K, Vanderveken OM, Tsuda H, et al. Oral appliance treatment for obstructive sleep apnea: an update. J Clin Sleep Med. 2014;10(2):215-27.

4.

4. Ramar K, Dort LC, Katz SG, et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. J Clin Sleep Med. 2015;11(7):773-827.

5.

5. Heatley EM, Harris M, Battersby M et al. Obstructive sleep apneal in adults: A common chronic condition in need of a comprehensive chronic condition management approach. Sleep Med Rev 2013;17:349-355.

6.

6. Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, Nishino T. Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleepdisordered breathing. Chest. 2000;117(4):1065-72.

7.

7. Ma Y, Yu M, Gao X. The effect of gradually increased mandibular advancement on the efficacy of an oral appliance in the treatment of obstructive sleep apnea. J Clin Selep Med. 2020;16(8):1369-1376.

8.

8. Remmers J, Charkhandeh S, Grosse J, et al. Remotely controlled mandibular protrusion during sleep predicts therapeutic success with oral appliances in patients with obstructive sleep apnea. Sleep. 2013;36(10):1517-25, 1525A.

9.

9. Sutherland K, Ngiam J, Cistulli PA. Performance of Remotely Controlled Mandibular Protrusion Sleep Studies for Prediction of Oral Appliance Treatment Response. J Clin Sleep Med. 2017;13(3):411-417

10.

10. Remmers JE, Topor Z, Grosse J, et al. A Feedback-Controlled Mandibular Positioner Identifies Individuals With Sleep Apnea Who Will Respond to Oral Appliance Therapy. J Clin Sleep Med. 2017;13(7):871-880.

11.

11. Gagnadoux F, Fleury B, Vielle B, et al. Titrated mandibular advancement versus positive airway pressure for sleep apnea. Eur Respir J. 2009 ;doi: 10.1183/09031936.00148208

12.

12. Dieltjens M, Vanderveken OM, Heyning PH, et al. Current opinions and clinical practice in the titration of oral appliances in the treatment of sleep-disordered breathing. Sleep Med Rev. 2012;16(2):177-85.

13.

13. Minagi HO, Okuno K, Nohara K, et al. Predictors of Side Effects With Long-Term Oral Appliance Therapy for Obstructive Sleep Apnea. J Clin Sleep Med. 2018;14(1):119-125.

14.

14. Sutherland K, Philips CL, Cistulli PA Efficancy versus Effectiveness in the Treatment of Obstructive Sleep Apnea: CPAP and Oral Appliance J Dent Sleep Med 2015;2(4):175-181

15.

15. Ferguson KA, Cartwright R, Rogers R, et al. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2006;29(2):244-62.

16.

16. Lowe AA, Sjoholm TT, Ryan CF, et al. Treatment, airway and compliance effects of a titratable oral appliance. Sleep. 2000;23 Suppl 4:S172-8.

17.

17. Almeida FR; Lowe AA; Tsuiki S et al. Long-term compliance and side effects of oral appliances used for the treatment of snoring and obstructive sleep apnea syndrome. J Clin Sleep Med 2005;1(2):143-152

18.

18. Sheats RD, Schell TG, Blanton AO, Braga PM, Demko BG, Dort LC, Farquhar D, Katz SG, Masse JF, Rogers RR, Scherr SC, Schwartz DB, Spencer J. Management of side effects of oral appliance therapy for sleep-disordered breathing. J Dent Sleep Medicine. 2017;4(4):111–125

19.

19. 조정환 코골이 및 폐쇄성 수면무호흡증의 구강내 장치 치료시 부작용 및관리 대한치과의사협회지 2019;57(5):270-278

20.

20. Marklund M, Stenlund H, Franklin KA. Mandibular advancement devices in 630 men and women with obstructive sleep apnea and snoring: tolerability and predictors of treatment success. Chest. 2004;125(4):1270-8.

21.

21. Liu Y, Lowe AA, Fleetham JA, et al. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2001;120(6):639-47.

22.

22. Lavigne GJ, Herrero Babiloni A, Beetz G et al Critical issues in dental and medical management of obstructive sleep apnea Journal of Dental Research 2019 DOI: 10.1177/0022034519885644 journals. sagepub.com/home/jdr

23.

23. Verbruggen, A. E., Vroegop, A. V., Dieltjens, M., Wouters, K., Kastoer, C., de Backer, W. A., ... & Vanderveken, O. M. Predicting therapeutic outcome of mandibular advancement device treatment in obstructive sleep apnoea (PROMAD): study design and baseline characteristics. J dent sel ep medi, 2016;3(4):119-138.

24.

24. Junior, C. M. C., & Palombini, L. Evaluation of the upper airway in obstructive sleep apnoea. Indian J Med Res, 2010;131: 230-235

25.

25. Zhao, M., Barber, T., Cistulli, P., Sutherland, K., & Rosengarten, G. Computational fluid dynamics for the assessment of upper airway response to oral appliance treatment in obstructive sleep apnea. Journal of biomechanics, 2013;46(1):142-150.

26.

26. Vanderveken, O. M. Drug-induced sleep endoscopy (DISE) for non-CPAP treatment selection in patients with sleep-disordered breathing. 2013;17(1):13-14

27.

27. Tsai WH, Vazquez JC, Oshima T, et al. Remotely controlled mandibular positioner predicts efficacy of oral appliances in sleep apnea. Am J Respir Crit Care Med. 2004;170(4):366-70.

28.

28. Carberry JC, Amatoury J, Eckert DJ Personalized management approach for OSA CHEST 2018; 153(3):744-755

29.

29. Sutherland K, Cistulli PA. Recent advances in obstructive sleep apnea pathophysiology and treatment. Sleep and Biological Rhythms. 2015;13(1):26-40.

30.

30. Chan AS, Sutherland K, Schwab RJ, et al. The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea. Thorax. 2010;65(8):726-32.

31.

31. E.M. Heatley et al. Obstructive sleep apnoea in adults: A common chronic condition in need of a comprehensive chronic condition management approach Sleep Medicine Reviews 2013;17:349-355

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