Effect of mandibular position on upper airway collapsibility and resistance

Journal of Dental Research

Volumn 84, Issue 6, 2005, Pages 554-558

  Inazawa, T ^a   Ayuse, T ^a   Kurata, S ^a   Okayasu, I ^a   Sakamoto, E ^a   Oi, K ^a   Schneider, H ^b   Schwartz, A R ^b  

^a NAGASAKI UNIVERSITY GRADUATE SCHOOL OF BIOMEDICAL SCIENCES   (Japan)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Critical closing pressure; Mandibular advancement; Sedation; Sleep apnea; Upper airway

Indexed keywords

HYPNOTIC SEDATIVE AGENT; MIDAZOLAM;

ADULT; AIRWAY OBSTRUCTION; AIRWAY RESISTANCE; ARTICLE; DRUG EFFECT; HISTOLOGY; HUMAN; INCISOR; INHALATION; INSPIRATORY CAPACITY; INSTRUMENTATION; LUNG VENTILATION; MALE; MANDIBLE; MANDIBLE RECONSTRUCTION; PATHOPHYSIOLOGY; PHYSIOLOGY; POLYSOMNOGRAPHY; PRESSURE; TOOTH OCCLUSION;

ADULT; AIRWAY OBSTRUCTION; AIRWAY RESISTANCE; DENTAL OCCLUSION, CENTRIC; HUMANS; HYPNOTICS AND SEDATIVES; INCISOR; INHALATION; INSPIRATORY CAPACITY; MALE; MANDIBLE; MANDIBULAR ADVANCEMENT; MIDAZOLAM; POLYSOMNOGRAPHY; PRESSURE; PULMONARY VENTILATION;

EID: 22844433455     PISSN: 00220345     EISSN: None     Source Type: Journal    
DOI: 10.1177/154405910508400613     Document Type: Article

References (25)

1. Ayuse T, Inazawa T, Kurata S, Okayasu I, Sakamoto E, Oi K, et al. (2004). Mouth-opening increases upper-airway collapsibility without changing resistance during midazolam sedation. J Dent Res 83:718-722.
2. Boudewyns A, Punjabi N, Van de Heyning PH, De Backer WA, O'Donnell CP, Schneider H, et al. (2000). Abbreviated method for assessing upper airway function in obstructive sleep apnea. Chest 118:1031-1041.
3. Clark GT, Arand D, Chung E, Tong D (1993). Effect of anterior mandibular positioning on obstructive sleep apnea. Am Rev Respir Dis 147:624-629.
4. Condos R, Norman RG, Krishnasamy I, Peduzzi N, Goldring RM, Rapoport DM (1994). Flow limitation as a noninvasive assessment of residual upper-airway resistance during continuous positive airway pressure therapy of obstructive sleep apnea. Am J Respir Crit Care Med 150:475-480.
5. Eastwood PR, Szollosi I, Platt PR, Hillman DR (2002). Collapsibility of the upper airway during anesthesia with isoflurane. Anesthesiology 97:786-793.
6. Eveloff SE, Rosenberg CL, Carlisle CC, Millman RP (1994). Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Crit Care Med 149(4 Pt 1):905-909.
7. Ferguson KA, Love LL, Ryan CF (1997). Effect of mandibular and tongue protrusion on upper airway size during wakefulness. Am J Respir Crit Care Med 155:1748-1754.
8. Gold AR, Schwartz AR (1996). The pharyngeal critical pressure. The whys and hows of using nasal continuous positive airway pressure diagnostically. Chest 110:1077-1088.
9. Hosselet J, Ayappa I, Norman RG, Krieger AC, Rapoport DM (2001). Classification of sleep-disordered breathing. Am J Respir Crit Care Med 163:398-405.
10. Isono S, Tanaka A, Sho Y, Konno A, Nishino T (1995). Advancement of the mandible improves velopharyngeal airway patency. J Appl Physiol 79:2132-2138.
11. Isono S, Tanaka A, Tagaito Y, Sho Y, Nishino T (1997). Pharyngeal patency in response to advancement of the mandible in obese anesthetized persons. Anesthesiology 87:1055-1062;
12. comment in Anesthesiology 89:541-542, 1998.
13. Issa FG, Sullivan CE (1984). Upper airway closing pressures in obstructive sleep apnea. J Appl Physiol 57:520-527.
14. Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, et al. (2000). Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing. Chest 117:1065-1072.
15. Litman RS, Hayes JL, Basco MG, Schwartz AR, Bailey PL, Ward DS (2002a). Use of dynamic negative airway pressure (DNAP) to assess sedative-induced upper airway obstruction. Anesthesiology 96:342-345.
16. Litman RS, Weissend EE, Shrier DA, Ward DS (2002b). Morphologic changes in the upper airway of children during awakening from propofol administration. Anesthesiology 96:607-611.
17. Mathru M, Esch O, Lang J, Herbert ME, Chaljub G, Goodacre B, et al. (1996). Magnetic resonance imaging of the upper airway. Effects of propofol anesthesia and nasal continuous positive airway pressure in humans. Anesthesiology 84:273-279;
18. comment in Anesthesiology 84:353-355, 1996.
19. Ng AT, Gotsopoulos H, Qian J, Cistulli PA (2003). Effect of oral appliance therapy on upper airway collapsibility in obstructive sleep apnea. Am J Respir Crit Care Med 168:238-241.
20. Rowley JA, Permutt S, Willey S, Smith PL, Schwartz AR (1996). Effect of tracheal and tongue displacement on upper airway airflow dynamics. J Appl Physiol 80:2171-2178.
21. Schwartz AR, Smith PL, Wise RA, Gold AR, Permutt S (1988). Induction of upper airway occlusion in sleeping individuals with subatmospheric nasal pressure. J Appl Physiol 64:535-542.
22. Schwartz AR, Smith PL, Wise RA, Bankman I, Permutt S (1989). Effect of positive nasal pressure on upper airway pressure-flow relationships. J Appli Physiol 66:1626-1634.
23. Schwartz AR, Eisele DW, Smith PL (1998a). Pharyngeal airway obstruction in obstructive sleep apnea: pathophysiology and clinical implications. Otolaryngol Clin North Am 31:911-918.
24. Schwartz AR, O'Donnell CP, Baron J, Schubert N, Alam D, Samadi SD, et al. (1998b). The hypotonic upper airway in obstructive sleep apnea: role of structures and neuromuscular activity. Am J Respir Crit Care Med 157(4 Pt 1):1051-1057.
25. Shepard JW Jr, Thawley SE (1990). Localization of upper airway collapse during sleep in patients with obstructive sleep apnea. Am Rev Respir Dis 141(5 Pt 1):1350-1355.