Respiratory Tract Diseases, Sleep Apnea, Obstructive, Sleep Apnea Syndromes
Conditions
Keywords
oral appliance
Brief summary
The OAMMM study is a mono-centrer , non interventional, prospective study, carried out in CH Valence Oral Appliance is indicated for first line moderate sleep Apnea Syndrome or severe sleep Apnea Syndrome after failure of positive airway pressure (CPAP). Clinical impact of each mm advancement of Oral Appliance is imperfectly assessed. The study aim to assess clinical and paraclinical efficacy of an oral Appliance on each mm of advancement.
Detailed description
Oral appliance will be delivered with a propulsion at 50% of the maximum advance and the investigator will titrate the advance according to the usual method Polygraphy and clinical effectiveness of the Oral appliance will be evaluate
Interventions
Each patient will undergo 3 to 7 polygraphy recordings according usual practice of titration At the same time, Self-questionnaires will be conducted by the patient in order to evaluate Oral appliance efficacy. Optimal titration of oral appliance will be done according subjectives parameters. (sleepeness Reduction and fatigue Reduction). Neither the investigator nor the patient will know the polygraphy results (apnea-hypopnea index)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years old * Moderate sleep apnea diagnosis with clinical signs * Severe sleep apnea with failure continuous positive airway pressure( CPAP)
Exclusion criteria
* previous sleep apnea treatment for Moderate sleep apnea * refusal to participate in research * Patient under guardianship, deprived of liberty, safeguard of justice
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| apnea-hypopnea index | 6 months | severity of sleep apnea |
Secondary
| Measure | Time frame |
|---|---|
| Epworth Sleepiness Scale score | 6 months |
| pichot fatigue questionnaire | 6 months |
Countries
France