CASE STUDY 10
41 year old woman, habitual snorer, waking up 5 or more times a night, excessively tired and sleepy during the day, wakes with a dull headache. BMI of 30.7. Epworth score of 9.
Narrow nasal passages, shallow velopharynx and hypopharynx that show moderate collapse with Muller's maneuver. Jaw thrust elevates soft palate and base of tongue.
With Muller's maneuver
With jaw thrust
Baseline Oximetry with Sampling every 30 seconds
Oximetry was reported as normal.
Baseline Oximetry with Sampling every 2 seconds
ODI of 25.2.
Diagnosis - Moderately Severe Hypopneic Obstructive Sleep Apnea
Treatment - The Silencer, an adjustable dental appliance that advances the mandible during sleep.
Outcomes - No longer snoring or waking up at night. No longer wakes up with a dull headache. Improved alertness and energy during the day. Epworth score has fallen to 4 from 9.
Oximetry with the Silencer
ODI of 1.4. Normal oximetry.
This case illustrates the following points:
Case Study 1:
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Case Study 4:
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Case Study 7:
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Case Study 9:
Case Study 10:
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