{"id":27636,"date":"2023-09-15T15:22:59","date_gmt":"2023-09-15T15:22:59","guid":{"rendered":"https:\/\/www.sylvainchamberland.com\/?p=27636"},"modified":"2023-09-15T15:23:01","modified_gmt":"2023-09-15T15:23:01","slug":"epram-marpe-and-obstructive-sleep-apnea","status":"publish","type":"post","link":"https:\/\/www.sylvainchamberland.com\/en\/epram-marpe-and-obstructive-sleep-apnea\/","title":{"rendered":"EPRAM\/MARPE and Obstructive Sleep Apnea"},"content":{"rendered":"\n

38-year-old female patient. Chronic mouth breathing, unable to breathe through the nose.
Followed by a pulmonologist for known obstructive sleep apnea.
Apnea-hypopnea index is 111\/h in supine position (lying on her back) and 42\/h when lying on her side.
She has worn a mandibular anvance brace which has been effective, but which she found cumbersome. She uses a CPAP calibrated to a pressure of 5-6 cm of water, which reduces the apnea index to 1\/h.
She consulted an oral surgeon, as she was looking for a definitive solution and wanted, one day, to no longer need to use a CPAP. The surgeon referred her to orthodontics for a major orthosurgical treatment of maxillary expansion followed by bimaxillary advancement surgery.
The expansion phase was performed with a bicortical bone anchorage appliance (MSE). This device enabled maxillary disjunction to be achieved without the need for surgical assistance.
Interestingly, this lady asked for a new polysomnography.
It shows that the supine index is now 69\/h and the side-lying index is 24.5\/h.
PS: this case is the same as the one published on April 13, except that in April, I didn’t have the information about the 2nd polysomnography.<\/p>\n\n\n\n

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38-year-old female patient. Chronic mouth breathing, unable to breathe through the nose.Followed by a pulmonologist for known obstructive sleep apnea.Apnea-hypopnea index is 111\/h in supine position (lying on her back) and 42\/h when lying on her side.She has worn a mandibular anvance brace which has been effective, but which she found cumbersome. She uses a […]<\/p>\n","protected":false},"author":1,"featured_media":27617,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-27636","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nEPRAM\/MARPE and Obstructive Sleep Apnea - Dr. Sylvain Chamberland, Orthodontist<\/title>\n<meta name=\"description\" content=\"38-year-old female patient. 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