Comparison of posterior airway space was evaluated radiographically on patients with sleep apnea in a mandibular reposed position vs. a mandibular protruded position. This was performed at the Santa Barbara Sleep Disorders Medical Center to simulate the effect of anterior orthotic appliances on these patients. The overall effect of forward mandibular posturing was a mean increase of posterior airway space (PAS) by approximately 56%, but wide variations were seen.
Get full access to this article
View all access options for this article.
References
1.
GuilleminaultCG. Narcolepsy syndrome. In: KrugerMHRothTDementWC, eds. Principles and practice of sleep medicine. Philadelphia: WB Saunders, 1989:552–88.
2.
LanePBen-YosefRRubinAE. Prevalence of sleep apnea syndrome among patients with essential hypertension. Am Heart J1984; 108: 373–6.
3.
TilkianAGGuilleminaultCGSchroederJSLehrmanKLSimmonsFBDementWC. Hemodynamics in sleep-induced apnea: studies during wakefulness and sleep. Ann Intern Med1976; 85: 714–9.
4.
GuilleminaultCGConnollySJWinkleRA. Cardiac arrhythmia and conduction disturbances during sleep in 400 patients with sleep apnea syndrome. Am J Cardiol1983; 52: 490–4.
5.
HeJKrygerMHSorickFJConwayWRothT. Mortality and apnea index in obstructive sleep apnea: experiences in 385 male patients. Chest1988; 94: 9–14.
6.
GisalonTTaubA. Prevalence of sleep apnea syndrome—estimate by two stage sampling. UPS J Med Sci1987; 92: 193.
7.
SmallwoodRGVitielloMVGiblonECPrinzPN. Sleep apnea: relationship to age, sex, and Alzheimer's dementia. Sleep1983; 6: 16–22.
8.
AldrichMS. Automobile accidents in patients with sleep disorders. Sleep1989; 12: 487–94.
9.
FindleyLJFabrizioMThommiGSurattPM. Severity of sleep apnea and automobile crashes. N Engl J Med1989; 320: 868–9.
10.
FindleyLJUnverzagtMESurattPM. Automobile accidents involving patients with obstructive sleep apnea. Am Rev Respir Dis1988; 138: 337–40.
11.
HaponikEFSmithPLBohlmanMEAllenRPGoldmanSMBleeckerER. Computerized tomography in OSA: correlation of airway size with physiology during sleep and wakefulness. Am Rev Respir Dis1983; 127: 221–6.
12.
HarmenEMJamesWWBlockAJ. The effect of weight loss on sleep disordered breathing and oxygen desaturation in morbidity obese men. Chest1982; 82: 291–4.
13.
RubinsteinIColapintoNRotsteinLEImprovement in upper airway function after weight loss in patients with obstructive sleep apnea. Am Rev Respir Dis1988; 138: 1192.
BradleyTDBrownIGGrossmanRFPharyngeal size in snorers, nonsnorers, and patients with obstructive sleep apnea. N Engl J Med1986; 315: 1327–31.
16.
HarperAM. OSA mechanisms. Calif Dent Assoc J1988; 16: 35–9.
17.
SharpJDruzW. Diaphragmatic response to body position changes in obese patients with obstructive sleep apnea. Am Rev Respir Dis1986; 123: 204.
18.
SullivanCEBerthon-JonesMIssaFGReversal of obstructive sleep apnea by continuous positive airway pressure applied through the nares. Lancet1981; 1: 862.
19.
Nino-MarciaGCroweCBiliwiseDNasal CPAP: follow-up of compliance and adverse effects. Sleep1987; 16: 398.
20.
FujitaSConwayWZorickFSurgical correction of anatomic abnormalities of obstructive sleep apnea syndrome: urulopalatopharyngoplasty. Otolaryngol Head Neck Surg1981; 89: 923.
21.
RileyRPowellNGuilleminaultCG. Maxillofacial surgery and obstructive sleep apnea: a review of 80 patients. Otolaryngol Head Neck Surg1989; 101: 353–61.
22.
WaitePDWootenVLacherJMaxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome. J Oral Maxillofac Surg1989; 47: 1256–61.
23.
DeBerry-BorowiekiBKukwaABanksR. Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea. Laryngoscope1988; 98: 226–34.
24.
RileyRGuilleminaultCGHerrinJPowellN. Cephalometric analysis and flow-volume loops in obstructive sleep apnea patients. Sleep1983; 6: 303–11.