PDF(Pubmed)
Abstract：
Obstructive Sleep Apnea (OSA) is one of the most common sleep disorders. A mandibular advancement device (MAD) can be used to manage primary snoring and OSA cases. It is mostly indicated in cases with mild to moderate OSA. This case reports shows the successful management of severe OSA using MAD. A 34-year-old male presented to the orthodontic clinic with a diagnosis of severe OSA, apnea-hypopnea index (AHI) of 71 events per hour with symptoms of loud snoring, witnessed gasping, morning headache, and excessive daytime sleepiness. The case was managed using MAD to position the lower jaw in a forward position during sleep with 7 mm advancement. Progress sleep study results showed that the AHI reached normal levels, with only two hypopnea events per hour and a complete resolution of apnea episodes. The patient\'s symptoms subsided after using MADs. This case report documents that severe OSA can be managed with MAD in suitable cases.
摘要：
阻塞性睡眠呼吸暂停(OSA)是最常见的睡眠障碍之一。下颌前移装置（MAD）可用于处理原发性打鼾和OSA病例。它主要用于轻度至中度OSA的病例。此病例报告显示使用MAD成功治疗重度OSA。一名34岁的男性出现在正畸诊所，诊断为严重的OSA，呼吸暂停低通气指数（AHI）每小时71个事件与大声打鼾的症状，目睹了喘气，早上头痛,和白天过度嗜睡。使用MAD在睡眠期间以7mm的前进将下颌定位在向前位置来管理该病例。进展睡眠研究结果显示，AHI达到正常水平，每小时只有两次呼吸不足事件，并且呼吸暂停发作完全解决。患者使用MAD后症状消退。此病例报告表明，在适当的病例中，可以使用MAD管理严重的OSA。
