지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2004.6
- 수록면
- 187 - 196 (10page)
이용수
초록· 키워드
오류제보하기
Background and Objectives: The upper airway caliber shows rhythmic changes according to the respiratory cycle. The dynamic imaging technique is needed to demonstrate nonfixed oropharyngeal obstruction in patients with snoring and/or obstructive sleep apnea. This study was designed to determine the level. extent, and dynamics of the oropharyngeal closure from the dynamic view of the oropharynx and to assess the treatment outcome of the mandibular advancement device according to obstruction site and collapsibility of the oropharynx
Materials and Method: The upper airway was scanned in 16 patients by using EDT while awake, asleep, with and without insertion of mandibular advancement device at least during 2 respiratory cycles. Portable polysomnography was performed before and after treatment.
Results: Of 16 subjects 8 showed obstruction at velopharynx, 5 at oropharynx, and 3 at both of the velopharynx and oropharynx. The mean RDI decreased from 24.79±14.79 to 13.22±13.92 after treatment. The amount of RDI decrease is 37.86% in velopharyngeal obstruction group and 61.87% in oropharyngeal obstruction group.
Conclusion: A mandibular advancement device is effective in decreasing obstructive sleep apnea during sleep wherever the obstruction occurs at velopharynx or oropharynx. Nevertheless, it is more effective in the patients with oropharyngeal obstruction rather than the patients with velopharyngeal obstruction.
Materials and Method: The upper airway was scanned in 16 patients by using EDT while awake, asleep, with and without insertion of mandibular advancement device at least during 2 respiratory cycles. Portable polysomnography was performed before and after treatment.
Results: Of 16 subjects 8 showed obstruction at velopharynx, 5 at oropharynx, and 3 at both of the velopharynx and oropharynx. The mean RDI decreased from 24.79±14.79 to 13.22±13.92 after treatment. The amount of RDI decrease is 37.86% in velopharyngeal obstruction group and 61.87% in oropharyngeal obstruction group.
Conclusion: A mandibular advancement device is effective in decreasing obstructive sleep apnea during sleep wherever the obstruction occurs at velopharynx or oropharynx. Nevertheless, it is more effective in the patients with oropharyngeal obstruction rather than the patients with velopharyngeal obstruction.
목차
1.서론
2.연구대상 및 방법
3.연구결과
4.총괄 및 고찰
5.결론
참고문헌
ABSTRACT
참고문헌 (34)
참고문헌 신청
, 1993 , The occurrence of sleep disordered breathing among middle-aged adults : 1230 ~ 1235
, 1992 , Treatment of obstructive sleep apnea with nasal continuous positive airway pressure perception of benefits : 841 ~ 845
, 1991 , Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea : 1130 ~ 1133
, 1994 , Subjective and objective assessment of uvulopalatopharyngoplasty for treatment of snoring and obstructive sleep apnea : 1286 ~ 1290
, 1999 , A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty in the treatment of obstructive sleep apnoea 119 (4) : 503 ~ 509
, 1992 , Treatment of obstructive sleep apnea with nasal continuous positive airway pressure perception of benefits : 841 ~ 845
, 1991 , Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea : 1130 ~ 1133
, 1994 , Subjective and objective assessment of uvulopalatopharyngoplasty for treatment of snoring and obstructive sleep apnea : 1286 ~ 1290
, 1999 , A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty in the treatment of obstructive sleep apnoea 119 (4) : 503 ~ 509
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UCI(KEPA) : I410-ECN-0101-2009-515-014099535