Improvement in daytime sleepiness by the use of an oral appliance in a pateint with upper airway resistance syndrome
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
This case report details the treatment outcome of an oral appliance (OA) used in a patient suffering from excessive daytime sleepiness (EDS) caused by an upper airway resistance syndrome (UARS). The patient demonstrated significant improvement in the multiple sleep latency test (MSLT) and the maintenance of wakefulness test (MWT) after treatment with an OA. The presented case suggests that an OA may be considered as a further treatment option for UARS.
- Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P. A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest 1993; 104: 781–787 CrossRef
- Bloch KE. Die klinische Bedeutung des Schnarchens. Schweiz Med Wochenschr 1997; 127: 170–175
- Guilleminault C. Idiopathic central nervous system hypersomnia. In: Kryger MH, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine, 2nd ed. Philadelphia: WB Saunders; 1994; 564–566.
- Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleeping Scale. Sleep 1991; 14: 540–545
- Association of Sleep Disorders Center Task Force on Daytime Sleepiness. Guidelines for the multiple sleep latency test (MSLT): A standard measure of sleepiness. Sleep 1989; 9: 519–624
- Mitler M, Gujavaty KS, Browman CP. Maintenance of wakefulness test: A polysomnographic technique for evaluating treatment in patients with excessive somnolence. Electroencephalogr Clin Neurophysiol 1982; 153: 685–661
- Teran-Santos J, Jimerne-Gomez A, Cordero-Guevara J. The association between sleep apnea and the risk of traffic accidents. N Engl J Med 1999; 340: 847–851 CrossRef
- Rausch H, Formanek D, Zwick H. Nasal continuous positive airway pressure for nonapneic snoring? Chest 1995; 107: 58–61 CrossRef
- Loube D, Andrada T, Shanmagum N, Singer M. Successful treatment of the upper airway resistance syndrome with an oral appliance. Sleep and Breathing 1998; 2: 98–101.
- Meier-Ewert K, Schäfer H, Klow W. Treatment of sleep apnea by a mandibular protracting device. Berichtsband 7th European Congress on Sleep Research, München, 1984; p. 217
- Loew AA. Dental appliances for the treatment of snoring and obstructive sleep apnea. In: Kryger MH, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine, 2nd ed. Philadelphia WB Saunders; 1994: 722–735
- American Sleep Disorder Association Standards of Practice Committee. Practice parameter for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995; 18: 511–513
- Benbadis SR, Mascha E, Perry MC, et al. Association between the Epworth Sleeping Scale and multiple sleep latenacy testing in a clinical population. Ann Int Med 1999; 130: 289–292
- Levy P, Pepin JL, Mayer P, Wuyam B, Veale D. Management of simple snoring, upper airway resistance syndrome, and moderate sleep apnea syndrome. Sleep 1996; 19: 101–110.
- Pantin CC, Hillman DR, Tennant M. Dental side effects of an oral device to treat snoring and obstructive sleep apnea. Sleep 1999; 22: 237–240.
- Improvement in daytime sleepiness by the use of an oral appliance in a pateint with upper airway resistance syndrome
Sleep and Breathing
Volume 4, Issue 2 , pp 85-87
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- upper airway resistance syndrome
- oral appliance
- measurement of daytime sleepiness
- Industry Sectors
- Author Affiliations
- 1. Department of Orthodontics, Dental Medical School, University of Freiburg, 79106, Freiburg i. Br., Germany
- 2. Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany
- 3. Robert-Koch-Klinik, Department of Pneumology, University of Freiburg, Freiburg, Germany