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Successful treatment of upper airway resistance syndrome with an oral appliance

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Abstract

This case report is the first description of the treatment response to an oral appliance (OA) in a patient with upper airway resistance syndrome (UARS). OAs are devices inserted into the mouth in order to modify the position of the mandible and tongue, thus relieving pharyngeal obstruction during sleep in obstructive sleep apnea (OSA) patients. Findings from this case report suggest that an OA may be a useful treatment option for UARS patients.

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Abbreviations

OA:

oral appliance

UARS:

upper airway resstance syndrome

OSA:

obstructive sleep apnea

Pes:

esophageal pressure

CPAP:

continuous positive airway pressure

UPPP:

uvulopalatopharyngoplasty

NPSG:

nocturnal polysomnography

EEG:

electroencephalography

References

  1. Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P. A cause of excessive daytime sleepiness: the upper airway resistance syndrome. Chest 1993; 104:781–87.

    Article  PubMed  CAS  Google Scholar 

  2. Guilleminault C, Stoohs R, Kim Y, et al Upper airway sleep-disordered breathing in women. Ann Intern Med 1995; 122:493–501.

    PubMed  CAS  Google Scholar 

  3. Strollo PJ, Sanders MH. Significance and treatment of nonapneic snoring. Sleep 1993; 16:403–8.

    PubMed  Google Scholar 

  4. Chervin RD, Guilleminault C. Obstructive sleep apnea and related disorders. Neurol Clin 1996; 14:583–609.

    Article  PubMed  CAS  Google Scholar 

  5. Newman JP, Clerk AA, Moore M, Utley DS, Terris DJ. Recognition and surgical management of upper airway resistance syndrome. Laryngoscope 1996; 106:1089–93.

    Article  PubMed  CAS  Google Scholar 

  6. Johns, MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14:540–5.

    PubMed  CAS  Google Scholar 

  7. Rechtstaffen, A, Kales A. A manual of standardized terminology: techniques and scoring system for sleep stages of human subjects. National Institutes of Health publication No. 204, 1994. Washington DC: United States Government Office.

    Google Scholar 

  8. Mitler, MM, Poceta SJ, Bigby BJ. Sleep scoring technique. In: Chokoverty P, ed. Sleep Disorders Medicine. Boston, MA: Butterworth-Heinemann, 1994; 155–72.

    Google Scholar 

  9. Mathur R, Douglas NJ. Frequency of EKG arousals from nocturnal sleep in normal subjects. Sleep 1995; 18:330–33.

    PubMed  CAS  Google Scholar 

  10. Gold AA, Schwartz AR. The pharyngeal critical pressure: the whys and hows of using nasal continuous positive airway pressure diagnostically. Chest 1996; 110:107788.

    Article  Google Scholar 

  11. Condos R, Norman RG, Krishnasamy I, et alt Flow Limitation as a noninvasive assessment of restdual upper-airway resistance during continuous positive airway pressure treatment of obstructive sleep apnea. Am J Resp Crit Care Med. 1994; 150:47580.

    Google Scholar 

  12. Montserrat JM, Ballester E, Olivi H, et alt Timecourse of stepwise CPAP titration. Behavior of respiratory and neurological variables. Am J Resp Crit Care Med 1995;. 152:1854–59.

    PubMed  CAS  Google Scholar 

  13. American Sleep Disorders Association Standards of Practice Committee. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995; 18:501–10.

    Google Scholar 

  14. Ferguson KA, Ono T, Lowe AA, Keenan SP, Fleetham JA. A randomized crossover study of an oral appliance versus nasal continuous positive airway pressure for the treatment of mild-moderate obstructive sleep apnea. Chest 1996; 109:1269–75.

    Article  PubMed  CAS  Google Scholar 

  15. Clark GT, Blumenfeld I, Yoffe N, Peled E, Lavie P. A crossover study comparing the cfficacy of continuous positive airway pressure with anterior mandibular positioning device on patients with obstructive sleep apnea. Chest 1996; 109:1477–83.

    Article  PubMed  CAS  Google Scholar 

  16. Menn SJ, Loube DI, Morgan TD, et alt The mandibular repositioning device: role in the treatment of obstructive sleep apnea. Sleep 1996; 19:794–800.

    PubMed  CAS  Google Scholar 

  17. Levy PJ, Pepin J, Mayer P, Wuyam B, Veale, D. Management of simple snoring, upper airway resistance syndrome, and obstructive sleep apnea. Sleep 1996; 19:S101–10.

    PubMed  CAS  Google Scholar 

  18. Guilleminault C, Kim Y, Stoohs R. Upper airway resistance syndrome. Oral Maxillo Surg Clin 1995; 7:243–56.

    Google Scholar 

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Authors and Affiliations

  1. Sleep Disorders Center, Pulmonary/Critical Care Medicine Service, Walter Reed Army Medical Center, 20307-5001, Washington, DC

    Daniel I. Loube

Authors
  1. Daniel I. Loube
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  2. Teotimo Andrada
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  3. Natesa Shanmagum
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  4. Michael T. Singer
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Corresponding author

Correspondence to Daniel I. Loube.

Additional information

The opinions or assertions contained herein are the private views of the authors and do not necessarily represent the opinion of the Department of the Army or of the Department of Defense.

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Loube, D.I., Andrada, T., Shanmagum, N. et al. Successful treatment of upper airway resistance syndrome with an oral appliance. Sleep Breath 2, 98–101 (1997). https://doi.org/10.1007/BF03039004

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  • DOI: https://doi.org/10.1007/BF03039004

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