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首页> 外文期刊>Universidad Nacional de Colombia. Facultad de Medicina. Revista >Tratamiento con dispositivos orales para s?-ndrome de apnea-hipopnea obstructiva del sue?±o (SAHOS)
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Tratamiento con dispositivos orales para s?-ndrome de apnea-hipopnea obstructiva del sue?±o (SAHOS)

机译：口服装置治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）

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摘要

The objective of this article is to improve the management of oral devices (OD) by treating dentists, by achieving an adequate selection of OD, and providing safety and effectiveness to the patient. The use of this type of devices attempt to decrease the frequency or duration of respiratory events. ODS are indicated in patients with primary snoring, mild-to-moderate obstructive sleep apnea-hypopnea syndrome (OSAHS), and severe OSAHS who do not want or cannot tolerate positive airway pressure therapy. ODS are classified into tongue retaining devices, and non-adjustable and adjustable devices -the latter being the most recommended due to its characterization as a mandibular advanced device (MAD) since they are tailor-made, adjustable and have a dual arc. Their action mechanism consists of protrusion of the lower jaw, hyoid bone advancement and mandibular opening. MAD are more effective in young patients with lower body mass index (BMI), reduced neck circumference, positional OSAHS and retrognathic jaw. Adverse effects such as excessive salivation, occlusal changes and temporomandibular disorders may occur. MAD have proven to have an impact on decreased apnea-hypopnea index (AHI) and daytime sleepiness; they also improve nocturnal oxygenation, cardiovascular function, quality of life and neurocognitive behavior. In addition, adherence to treatment with MAD is greater than to positive airway pressure (PAP) treatment. A therapy combining MAD with PAP and other treatments is promising for those patients who respond insufficiently to monotherapy.
机译：这篇文章的目的是治疗的牙医，通过实现OD的适当选择，以及向患者提供安全性和有效性，提高口腔设备（OD）的管理。使用这种类型的设备试图减少呼吸事件的发生频率或持续时间。 ODS适用于原发性打s，轻度至中度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）和不愿或不能耐受气道正压治疗的严重OSAHS患者。 ODS分为舌头保持装置和不可调节和可调节装置-后者是最受推荐的，因为它是定制的，可调节的并且具有双弧形，因此具有下颌高级装置（MAD）的特征。它们的作用机制包括下颌的突出，舌骨的前进和下颌的开口。 MAD在低体重指数（BMI），颈围减少，OSAHS位置和颌后突的年轻患者中更有效。可能发生不良反应，如流涎过多，咬合改变和颞下颌疾病。事实证明，MAD对呼吸暂停低通气指数（AHI）下降和白天嗜睡有影响;它们还改善了夜间的氧合作用，心血管功能，生活质量和神经认知行为。此外，对MAD治疗的依从性大于对气道正压（PAP）治疗的依从性。 MAD与PAP相结合的疗法以及其他疗法对于那些对单一疗法反应不足的患者很有希望。

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