Publications by authors named "Nam Le Dong"
Article Synopsis
- Polysomnography (PSG) is the standard method for diagnosing obstructive sleep apnea (OSA) in children, but a new digital solution using a mandibular jaw movement (MJM) sensor has been tested as a potential alternative.* -
- This study examined the effectiveness of MJM automated analysis to detect remaining apnea/hypopnea events in children aged 5 to 18 with severe OSA treated with noninvasive ventilation or continuous PAP therapy.* -
- Results showed that MJM analysis had a strong correlation with PSG, indicating it could serve as a reliable option for monitoring sleep apnea events in pediatric patients undergoing treatment.*
Rationale: The respiratory effort index derived from vertical mandibular movements (MM-REI) is a potential marker of increased respiratory effort during sleep. We evaluated the effectiveness of mandibular advancement splint therapy using MM-REI, in comparison with the apnea-hypopnea index (AHI) and oxygen desaturation index (ODI).
Methods: Fifty-six subjects (median age, 47 years) with OSA treated with a custom mandibular advancement splint (Herbst appliance) were evaluated at the end of the titration procedure when snoring was reported absent by the sleep partner.
Objectives: Adenotonsillectomy (AT) markedly improves but does not necessarily normalize polysomnographic findings in children with adenotonsillar hypertrophy and related sleep-disordered breathing (SDB). Adenotonsillectomy efficacy should be evaluated by follow-up polysomnography (PSG), but this method may underestimate persistent respiratory effort (RE). Mandibular movement (MMas) monitoring is an innovative measurement that readily identifies RE during upper airway obstruction.
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