Oronasal mask may compromise the efficacy of continuous positive airway pressure on OSA treatment: is there evidence for avoiding the oronasal route?
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | ANDRADE, Rafaela Garcia Santos | |
dc.contributor.author | MADEIRO, Fernanda | |
dc.contributor.author | GENTA, Pedro Rodrigues | |
dc.contributor.author | LORENZI-FILHO, Geraldo | |
dc.date.accessioned | 2016-12-20T16:44:28Z | |
dc.date.available | 2016-12-20T16:44:28Z | |
dc.date.issued | 2016 | |
dc.description.abstract | Purpose of review Continuous positive airway pressure (CPAP) delivered by nasal mask is the gold standard treatment for obstructive sleep apnea (OSA). However, oral and oronasal masks are also available. We considered experimental evidence and reviewed clinical trials that evaluated the impact of oral and oronasal mask on OSA treatment. Recent findings One recent study in 18 OSA patients that slept with a customized oronasal mask with two sealed compartments showed that the change of CPAP flow from nasal to oronasal and oral caused upper airway obstruction because of posterior displacement of the tongue demonstrated by nasoendoscopy. Oral masks use a mouthpiece that may stabilize the jaw and the tongue and have shown to be effective. However, oral masks are not widely used in clinical practice. Four out of five observational studies and all five reviewed randomized studies showed a worse performance of oronasal when compared with nasal masks. Oronasal masks were associated with higher residual apnea-hypopnea index, lower adherence, more leaks, and less satisfaction than nasal mask in the majority of the studies. Summary Nasal CPAP must be the first choice to treat OSA. Patients on oronasal mask should be carefully followed. | |
dc.description.index | MEDLINE | |
dc.description.sponsorship | Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) | |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) | |
dc.identifier.citation | CURRENT OPINION IN PULMONARY MEDICINE, v.22, n.6, p.555-562, 2016 | |
dc.identifier.doi | 10.1097/MCP.0000000000000318 | |
dc.identifier.eissn | 1531-6971 | |
dc.identifier.issn | 1070-5287 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/17282 | |
dc.language.iso | eng | |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | |
dc.relation.ispartof | Current Opinion in Pulmonary Medicine | |
dc.rights | restrictedAccess | |
dc.rights.holder | Copyright LIPPINCOTT WILLIAMS & WILKINS | |
dc.subject | continuous positive airway pressure | |
dc.subject | nasal mask | |
dc.subject | obstructive sleep apnea | |
dc.subject | oral mask | |
dc.subject | oronasal mask | |
dc.subject.other | obstructive-sleep-apnea | |
dc.subject.other | apnea/hypopnea syndrome | |
dc.subject.other | cpap therapy | |
dc.subject.other | nasal masks | |
dc.subject.other | interface | |
dc.subject.other | trial | |
dc.subject.other | adults | |
dc.subject.other | population | |
dc.subject.other | prevalence | |
dc.subject.other | titration | |
dc.subject.wos | Respiratory System | |
dc.title | Oronasal mask may compromise the efficacy of continuous positive airway pressure on OSA treatment: is there evidence for avoiding the oronasal route? | |
dc.type | article | |
dc.type.category | review | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.citation.scopus | 18 | |
hcfmusp.contributor.author-fmusphc | RAFAELA GARCIA SANTOS DE ANDRADE | |
hcfmusp.contributor.author-fmusphc | FERNANDA MADEIRO LEITE VIANA WEAVER | |
hcfmusp.contributor.author-fmusphc | PEDRO RODRIGUES GENTA | |
hcfmusp.contributor.author-fmusphc | GERALDO LORENZI FILHO | |
hcfmusp.description.beginpage | 555 | |
hcfmusp.description.endpage | 562 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.volume | 22 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 27607153 | |
hcfmusp.origem.scopus | 2-s2.0-84986182646 | |
hcfmusp.origem.wos | WOS:000384839300005 | |
hcfmusp.publisher.city | PHILADELPHIA | |
hcfmusp.publisher.country | USA | |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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