The use of a mandibular advancement device (MAD) increases the activity of the temporo-mandibular (TM) complex and masseter (MM) muscles with the risk of reducing treatment compliance. Predictors of treatment outcome are of importance in selecting patients who might benefit from MAD without side effects. The role of mandibular advancement (MA) during drug-induced sleep endoscopy (DISE) is controversial. In three cases (BMI < 30) affected by non-severe OSAS (AHI < 30 e/h), we recorded the surface EMG signal of MM activity during DISE. At follow-up all cases improved the AHI, two cases that showed transient increase of MM activity did not suffer from changes of overjet and did not complain of discomfort with the use of MAD. The case that showed a continuing increase of MM activity reported TM discomfort without changes of dental occlusion. EMG of MM during DISE may contribute to ameliorate the selection of cases amenable to treatment with MAD.

Marchese, M. R., Scarano, E., Rizzotto, G., Grippaudo, C., Paludetti, G., The role of masseter muscle EMG during DISE to predict the effectiveness of MAD: preliminary results., <<ACTA OTORHINOLARYNGOLOGICA ITALICA>>, 2016; 36 (6): 486-489. [doi:10.14639/0392-100X-1474] [http://hdl.handle.net/10807/93435]

The role of masseter muscle EMG during DISE to predict the effectiveness of MAD: preliminary results.

Marchese, Maria Raffaella
;
Scarano, Emanuele
Secondo
;
Grippaudo, Cristina
Penultimo
;
Paludetti, Gaetano
Ultimo
2016

Abstract

The use of a mandibular advancement device (MAD) increases the activity of the temporo-mandibular (TM) complex and masseter (MM) muscles with the risk of reducing treatment compliance. Predictors of treatment outcome are of importance in selecting patients who might benefit from MAD without side effects. The role of mandibular advancement (MA) during drug-induced sleep endoscopy (DISE) is controversial. In three cases (BMI < 30) affected by non-severe OSAS (AHI < 30 e/h), we recorded the surface EMG signal of MM activity during DISE. At follow-up all cases improved the AHI, two cases that showed transient increase of MM activity did not suffer from changes of overjet and did not complain of discomfort with the use of MAD. The case that showed a continuing increase of MM activity reported TM discomfort without changes of dental occlusion. EMG of MM during DISE may contribute to ameliorate the selection of cases amenable to treatment with MAD.
Inglese
http://www.actaitalica.it/issues/2016/6-2016/06_Marchese_1474.pdf
Marchese, M. R., Scarano, E., Rizzotto, G., Grippaudo, C., Paludetti, G., The role of masseter muscle EMG during DISE to predict the effectiveness of MAD: preliminary results., <>, 2016; 36 (6): 486-489. [doi:10.14639/0392-100X-1474] [http://hdl.handle.net/10807/93435]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/93435
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