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Unbound Medicine.
(Apnea sleep obstructive)
39,982 results
  • Orbital Defect and Emphysema After Nose Blowing: A Case Report and Literature Review. [Case Reports]
    Cureus. 2022 Dec; 14(12):e32958.Komro JJ, Williams PJ, Lin DJ
  • A 59-year-old man with a history of obstructive sleep apnea presented to the emergency department for acute swelling of the left upper and lower eyelids after nose blowing. The patient denied prior orbital trauma or surgery and examinations were unremarkable for bony step-offs, lacerations, enophthalmos, proptosis, hypoglobus, or extraocular muscle restriction. Imaging confirmed the diagnosis of …
  • PATIENT-REPORTED OUTCOMES WHILE MANAGING OBSTRUCTIVE SLEEP APNEA WITH ORAL APPLIANCES: A SCOPING REVIEW. [Review]
    J Evid Based Dent Pract. 2023 Jan; 23(1S):101786.Fagundes NCF, Minervini G, … Flores-Mir C
  • CONCLUSIONS: This scoping review suggests that dPROs are mostly investigated as a secondary outcome from major studies exploring the effects of OAs on OSA severity, and often, dPROs are not well discussed or displayed on their report. As no risk of bias or certainty level assessment was completed, findings need to be carefully considered. Although in general terms management with OAs among adults with OSA does not seem to be uncomfortable or causing major problems to their lives, some mild discomfort and endured occlusal disturbances was reported in some studies. QoL seems to improve but consistent agreement was elusive. Data does not include experiences among those that dropped OA use. No data seems to exist about dPROs in children.
  • Smart Devices are Poised to Revolutionize the Usefulness of Respiratory Sounds. [Review]
    Chest. 2023 Jan 24 [Online ahead of print]Kraman SS, Pasterkamp H, Wodicka GR
  • The association between breathing sounds with respiratory health or disease has been exceptionally useful in the practice of medicine since the advent of the stethoscope. TOPIC IMPORTANCE: Remote patient monitoring technology and artificial intelligence offer the potential to develop practical means of assessing respiratory function or dysfunction through continuous assessment of breathing sounds…
  • Pediatric sleep apnea: Characterization of apneic events and sleep stages using heart rate variability. [Journal Article]
    Comput Biol Med. 2023 Jan 15; 154:106549.Martín-Montero A, Armañac-Julián P, … Gutiérrez-Tobal GC
  • Heart rate variability (HRV) is modulated by sleep stages and apneic events. Previous studies in children compared classical HRV parameters during sleep stages between obstructive sleep apnea (OSA) and controls. However, HRV-based characterization incorporating both sleep stages and apneic events has not been conducted. Furthermore, recently proposed novel HRV OSA-specific parameters have not bee…
  • Should Mandibular Symphyseal Distraction Osteogenesis be considered in OSA Surgery? [Journal Article]
    Orthod Fr. 2022 Dec 01; 93(Suppl 1):91-95.Li K, Guilleminault C
  • CONCLUSIONS: The goal of surgical maxillary expansion is to enlarge the nasal cavity and reduce the airway resistance. CFD data demonstrates that EASE results in a much greater reduction in airway resistance as compared to DOME. EASE achieved a 12-fold reduction in nasal airway resistance compared to 3-fold reduction by DOME; a 12-fold reduction of retropalatal airway resistance as compared to 3-fold reduction by DOME; a 10-fold reduction of oropharyngeal airway resistance as compared to a 3-fold reduction by DOME, and an 8-fold reduction of hypopharygeal airway resistance as compared to a 3-fold reduction by DOME. Because there is no physiologic basis or data that demonstrates mandibular widening improves OSA, an airway centric surgical expansion technique such as EASE can achieve a much greater airway impact without needing excessive maxillary widening, thus eliminating the necessity MSDO.
  • Maxillomandibular Advancement for OSA: Serious Complications and Failures. [Journal Article]
    Orthod Fr. 2022 Dec 01; 93(Suppl 1):61-73.Li K, Guilleminault C
  • CONCLUSIONS: Although MMA is typically a predictable operation with excellent outcomes, failure of improvement and severe long-term sequelae from surgical complications are possible. Surgical precision with sufficient skeletal advancement for airway improvement and stable skeletal fixation is necessary to achieve a successful outcome.
  • Persistent pediatric obstructive sleep apnea treated with skeletally anchored transpalatal distraction. [Journal Article]
    Orthod Fr. 2022 Dec 01; 93(Suppl 1):47-60.Li K, Iwasaki T, … Guilleminault C
  • CONCLUSIONS: Nasomaxillary expansion by skeletally anchored TPD improves OSA in children without transverse maxillary deficiency that were previously treated by RPE. A nearly parallel anterior-posterior opening of the mid-palatal suture achieves enlargement of the entire nasal passage with improvement of the airflow characteristics in the nasal and pharyngeal airway. The improved airflow characteristic is significantly correlated with the improved polysomnographic findings, thus demonstrating that nasomaxillary expansion in previously expanded patients is a viable treatment option.
  • Positive end-expiratory pressure in chronic care of children with obstructive sleep apnoea. [Review]
    Paediatr Respir Rev. 2023 Jan 11 [Online ahead of print]Fauroux B, Vedrenne-Cloquet M
  • Positive end-expiratory pressure (PEEP) consists of the delivery of a constant positive pressure in the airways by means of a noninvasive interface aiming to maintain airway patency throughout the entire respiratory cycle. PEEP is increasingly used in the chronic care of children with anatomical or functional abnormalities of the upper airways to correct severe persistent obstructive sleep apnea …
  • Prevalence of Obstructive Sleep Apnea With Floppy Eyelid Syndrome: A Systematic Review and Meta-analysis. [Journal Article]
    Ophthalmic Plast Reconstr Surg. 2022 Oct 28 [Online ahead of print]Bulloch G, Seth I, … McNab AA
  • CONCLUSIONS: This meta-analysis demonstrates OSA is a common comorbidity in the FES population. Ophthalmologists are often the first to evaluate patients with FES, and considering this coincidence, routine screens for sleep apnea symptoms in at-risk FES patients should be undertaken. Large case-control studies are required to better elucidate the exact prevalence of OSA and other morbidities in patients with FES, and to better understand the etiology of FES.
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