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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1993-2-1
|
| pubmed:abstractText |
Nine males with sleep apnea DOES syndrome and three males with sleep apnea DIMS syndrome were treated with prosthetic mandibular advancement (PMA). The method uses a prosthesis, which is designed to advance the mandible 3-5 mm to prevent upper airway occlusion during sleep. The apnea index in the obstructive-type apnea and the percentage of time spent in obstructive apnea decreased significantly with PMA. Although the apnea index showed merely a tendency to decrease in central apnea (p < 0.1), the percentage of time spent in central apnea decreased significantly with PMA. A marked improvement in sleep structures was observed with PMA; a significant increase was seen in total sleep time, percent slow wave sleep (SWS) and percent rapid eye movement (REM) sleep, and the time spent in intra-sleep awakening decreased remarkably. PMA had excellent effects on snoring, and daytime hypersomnolence was reduced in almost all patients. Moreover, a survey on the therapeutic effects of PMA on sleep apnea syndrome and problems associated with wearing PMA was performed with a questionnaire for the sample of nine DOES patients and an additional 22 patients who were treated over a long time. The therapeutic effects could be maintained without any problems in about 2/3 of these patients. The therapeutic mechanisms of PMA in its reduction of both obstructive and central apnea are discussed.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0161-8105
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
15
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
499-504
|
| pubmed:dateRevised |
2009-1-29
|
| pubmed:meshHeading |
pubmed-meshheading:1475564-Adult,
pubmed-meshheading:1475564-Follow-Up Studies,
pubmed-meshheading:1475564-Humans,
pubmed-meshheading:1475564-Male,
pubmed-meshheading:1475564-Mandible,
pubmed-meshheading:1475564-Middle Aged,
pubmed-meshheading:1475564-Orthodontic Appliances, Removable,
pubmed-meshheading:1475564-Patient Acceptance of Health Care,
pubmed-meshheading:1475564-Polysomnography,
pubmed-meshheading:1475564-Sleep Apnea Syndromes,
pubmed-meshheading:1475564-Sleep Stages,
pubmed-meshheading:1475564-Snoring,
pubmed-meshheading:1475564-Wakefulness
|
| pubmed:year |
1992
|
| pubmed:articleTitle |
Treatment of sleep apnea with prosthetic mandibular advancement (PMA).
|
| pubmed:affiliation |
Department of Neuropsychiatry, School of Medicine, Kurume University, Japan.
|
| pubmed:publicationType |
Journal Article
|