The efficacy of a titrated tongue stabilizing device on obstructive sleep apnea: a quasi-experimental study

Author(s):  
Waled M. Alshhrani ◽  
Mona M. Hamoda ◽  
Kentaro Okuno ◽  
Yuuya Kohzuka ◽  
John A. Fleetham ◽  
...  
2019 ◽  
Vol 2 (4) ◽  
Author(s):  
Galih Jatnika ◽  
Susilawati Hartanto

Obstructive Sleep Apnea (OSA) is a respiratory disorder during sleep with characteristics of temporary breathing cessation and upper airway obstruction that recurred partially or completely. Obesity has been recorded as one important risk factor in OSA. The purpose of this research was to assess the effect of acupressure therapy in OSA. This is a quasi-experimental study with pre-test and post-test one group design. Respondents were 18 high school students with BMI > 25 kg/m2. OSA was assesed using Epworth Sleepiness Scale. Acupressure therapy was done at 10 acupoints for 10 consecutive days. Data was analyzed using dependent t test. The results showed Epworth Sleepiness Scale score decreased significantly after acupressure therapy procedure (6.78 vs 5.28; p value 0.004). Conclusion, acupressure therapy can reduce the severity of OSA.   Keywords: acupressure, obesity, obstructive sleep apnea


2019 ◽  
Vol 24 (1) ◽  
pp. 201-209 ◽  
Author(s):  
Huei-Chen Lin ◽  
Ling-Ling Chiang ◽  
Jun-Hui Ong ◽  
Kun-ling Tsai ◽  
Ching-Hsia Hung ◽  
...  

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352


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