Edward T Chang1, Camilo Fernandez-Salvador2, Jeremy Giambo3, Blaine Nesbitt4, Stanley Yung-Chuan Liu5, Robson Capasso6, Clete A Kushida7, Macario Camacho8. 1. Department of Otolaryngology, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, HI, USA. Electronic address: etchan78@gmail.com. 2. Department of Otolaryngology, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, HI, USA. Electronic address: cferna25@gmail.com. 3. Uniformed Services University of the Health Sciences, School of Medicine, Bethesda,MD 20814, USA. Electronic address: jeremy.giambo@usuhs.edu. 4. Uniformed Services University of the Health Sciences, School of Medicine, Bethesda,MD 20814, USA. Electronic address: nicholas.nesbitt@usuhs.edu. 5. Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: stanley.yung.liu@gmail.com. 6. Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: rcapasso@stanford.edu. 7. Department of Psychiatry and Behavioral Sciences, Division of Sleep Medicine,Stanford Hospital and Clinics, 450 Broadway St. 2nd Floor, Redwood City, CA 94063, USA. Electronic address: clete@standford.edu. 8. Department of Otolaryngology, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, HI, USA; Department of Psychiatry and Behavioral Sciences, Division of Sleep Medicine,Stanford Hospital and Clinics, 450 Broadway St. 2nd Floor, Redwood City, CA 94063, USA. Electronic address: drcamachoent@yahoo.com.
Abstract
OBJECTIVE: Tongue Retaining Devices (TRD) anteriorly displace the tongue with suction forces while patients sleep. TRD provide a non-surgical treatment option for patients with Obstructive Sleep Apnea (OSA). Our objective was to conduct a systematic review of the international literature for TRD outcomes as treatment for OSA. METHODS: Three authors independently and systematically searched four databases (including PubMed/MEDLINE) through June 26, 2016. We followed guidelines set within the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). RESULTS: Sixteen studies with 242 patients met criteria. The overall means±standard deviations (M±SD) for apnea-hypopnea index (AHI) decreased from 33.6±21.1/h to 15.8±16.0/h (53% reduction). Seven studies (81 patients) reported lowest oxygen saturation (LSAT), which improved from 79.8±17.5% to 83.9±8.6%. Four studies (93 patients) reported Epworth sleepiness scale (ESS), which decreased from 10.8±4.8 to 8.2±4.5, p <0.0001. Four studies (31 patients) reported Oxygen Desaturation Index (ODI) which decreased from 29.6±32.1 to 12.9±8.7, a 56.4% reduction. CONCLUSION: Current international literature demonstrates that tongue retaining devices reduce apnea-hypopnea index by 53%, increase lowest oxygen saturation by 4.1 oxygen saturation points, decrease oxygen desaturation index by 56% and decrease Epworth sleepiness scale scores by 2.8 points. Tongue retaining devices provide a statistically effective alternative treatment option for obstructive sleep apnea. Published by Elsevier Inc.
OBJECTIVE: Tongue Retaining Devices (TRD) anteriorly displace the tongue with suction forces while patients sleep. TRD provide a non-surgical treatment option for patients with Obstructive Sleep Apnea (OSA). Our objective was to conduct a systematic review of the international literature for TRD outcomes as treatment for OSA. METHODS: Three authors independently and systematically searched four databases (including PubMed/MEDLINE) through June 26, 2016. We followed guidelines set within the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). RESULTS: Sixteen studies with 242 patients met criteria. The overall means±standard deviations (M±SD) for apnea-hypopnea index (AHI) decreased from 33.6±21.1/h to 15.8±16.0/h (53% reduction). Seven studies (81 patients) reported lowest oxygen saturation (LSAT), which improved from 79.8±17.5% to 83.9±8.6%. Four studies (93 patients) reported Epworth sleepiness scale (ESS), which decreased from 10.8±4.8 to 8.2±4.5, p <0.0001. Four studies (31 patients) reported Oxygen Desaturation Index (ODI) which decreased from 29.6±32.1 to 12.9±8.7, a 56.4% reduction. CONCLUSION: Current international literature demonstrates that tongue retaining devices reduce apnea-hypopnea index by 53%, increase lowest oxygen saturation by 4.1 oxygen saturation points, decrease oxygen desaturation index by 56% and decrease Epworth sleepiness scale scores by 2.8 points. Tongue retaining devices provide a statistically effective alternative treatment option for obstructive sleep apnea. Published by Elsevier Inc.
Authors: Waled M Alshhrani; Mona M Hamoda; Kentaro Okuno; Yuuya Kohzuka; John A Fleetham; Najib T Ayas; Robert Comey; Fernanda R Almeida Journal: J Clin Sleep Med Date: 2021-08-01 Impact factor: 4.324
Authors: Hasthi U Dissanayake; Juliana T Colpani; Kate Sutherland; Weiqiang Loke; Anna Mohammadieh; Yi-Hui Ou; Philip de Chazal; Peter A Cistulli; Chi-Hang Lee Journal: Clin Cardiol Date: 2021-11-17 Impact factor: 2.882