An Aerodynamic study used aerophone II for snoring patients

코콜이 환자의 sleep splint 착용 전후의 음향학적 및 공기역학적 연구

  • Jung, Se-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Kim, Hyun-Gi (Research Institute of Speech Sciences, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 정세진 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김현기 (전북대학교 음성과학 연구소) ;
  • 신효근 (전북대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.10.18
  • Accepted : 2011.04.07
  • Published : 2011.04.01

Abstract

Snoring and obstructive sleep apnea (OSA) are common sleep disordered breathing conditions. Habitual snoring is caused by a vibration of soft tissue of upper airway while breath in sleeping, and obstructive sleep apnea is caused by the repeated obstructions of airflow for a sleeping, specially airflow of pharynx. Researchers have shown that snoring is the most important symptom connected with the obstructive sleep apnea syndrome The treatment is directed toward improving the air flow by various surgical and nonsurgical methods. The current surgical procedures used are uvulopalatopharyngoplasty(UPPP), orthognathic surgery, nasal cavity surgery. Among the nonsurgical methods there are nasal continuous positive air pressure(CPAP), pharmacologic therapy. weight loss in obese patient, oral appliance(sleep splint). Sleep splint brings the mandible forward in order to increase upper airway volume and prevents total upper airway collapse during sleep. However, the precise mechanism of action is not yet completely understood, especially aerodynamic factor. The aim of this study evaluated the effect of conservative treatment of snoring and OSAS by sleep splint through measured aerodynamic change by an aerophone II. We measured a airflow, sound pressure level, duration, mean power from overall airflow by aerophone II mask. The results indicated that on a positive correlation between a decrease in maximum airflow rate and a decrease in maximum sound pressure level, on a negative correlation between a decrease in maximum airflow rate and a increase in duration.

Keywords

References

  1. Block AJ, Faulkner JA, Hughes AL, Remmers JE, Thach B ; Factors influencing upper airway closure. Chest,1984,6;14-122
  2. Schmit-Nowara W., Lowe A., Wiegand L.,et al. : Oral appliances for the treatment of snoring and obstructive sleep apnea: A review. Sleep, 1995, 18;501-510 https://doi.org/10.1093/sleep/18.6.501
  3. Gislason T, Almqvist M, Erikson G, Taube A, Boman G : Prevalence of sleep apnea syndrome among Sw edish men. An epidemiological study. J Clin Epide miol,1988,41:571-576 https://doi.org/10.1016/0895-4356(88)90061-3
  4. Young T, Palta M, Dempsey J et al : The occur rence of sleep-disordered breathing among middleaged adults. N Engl J Med,1993,328:1230-1235 https://doi.org/10.1056/NEJM199304293281704
  5. Rama AN, Tekwani SH, Kushida CA : Sites of obstruction in obstructive sleep apnea. Chest, 2002,122;1139-1147 https://doi.org/10.1378/chest.122.4.1139
  6. Kenzo N : Treatment of snoring and OSAS by dental method : by Sunashobo Publishers, Co. Ltd, 1999
  7. Standards of Practice Committee, American Sleep Disorders Association : Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep,1995,18;511-513 https://doi.org/10.1093/sleep/18.6.511
  8. Marklund M., Franklin K. A., Sahlin C., Lundgren R.: The effect of a mandibular advancement device on apneas and sleep in patients with obstructive sleep apnea. Chest,1998,113;707-713 https://doi.org/10.1378/chest.113.3.707
  9. Lugaresi E, Cirignotta F, Coccagna G, and Montagna P : Clinical significance of snoring. In Saunders, N. and Sullivan, C.(eds.): Sleep and Breathing. New York : Dekker,1984,vol.21;283-298
  10. Lugaresi E, Cirignotta F, Montagna P, and Zucconi M : Snoring : pathophysiology and clinical conse quences. Semin. Respir. Med.1988,9;577-585 https://doi.org/10.1055/s-2007-1012755
  11. Igor Fajdiga : Snoring imaging: Could Bernoulli explain it all? chest,2005,128;896-901 https://doi.org/10.1378/chest.128.2.896
  12. Masumi S., Nishigawa K., Williams A.J., et al. : Effect of jaw position and posture on forced inspiratory airflow in normal subjects and patients with obstructive sleep apnea. Chest,1996,109;1484-1489 https://doi.org/10.1378/chest.109.6.1484
  13. Ivanhoe JR., Cibirka RM., Lefebvre CA., Parr JR. : Dental considerations in upper airway sleep disorders : A review of the literature. J Prosthet Dent,1999, 82;685-698 https://doi.org/10.1016/S0022-3913(99)70010-7
  14. Kil-Jung Jeong, Dae-Ho Leem, Jong-Seok Lee, Jin-A Baek, Seung-O Ko, Hyo-Keun Shin, Hyun-Ki Kim : Aerodynamic study with and without wearing sleep splint for snoring. KAMPRS,2007,29(4);321-328
  15. Smith, SD: A three-dimensional airway assessment for the treatment of snoring and/or sleep apnea with jaw repositioning intraoral appliances : A case study. J. Craniomandib. Practice, 1996,14;332-343
  16. Xiaoguang Zhao, Yuehua Liu, Yan Gao :Threedimensional upper-airway changes associated with various amounts of mandibular advancement in awake apnea patients. Am J Orthod Dentofacial Orthop,2008,133;661-8 https://doi.org/10.1016/j.ajodo.2006.06.024
  17. J.W.De Backer, O.M.Vanderveken, W.G.Vos, A.Devolder, S.L.Verhulst, J.A.Verbraecken, P.M.Parizel, M.J.Braem, P.H.Van de Heyning, W.A. De Backer : Functional imaging using compu tational fluid dynamics to predict treatment success of mandibular advancement devices in sleepdisordered breathing. Journal of Biome chanics, 2007,40;3708-3714 https://doi.org/10.1016/j.jbiomech.2007.06.022
  18. Tero Aittokallio, Mats Gyllenberg, Olli Polo : A model of a snorer's upper airway. Mathematical Bioscience,2001,170;79-90 https://doi.org/10.1016/S0025-5564(00)00062-6