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  • Title: [Differential therapeutic aspects in treatment of obstructive sleep apnea syndrome].
    Author: Mayer G, Hochban W, Meier-Ewert K.
    Journal: Nervenarzt; 1995 Apr; 66(4):293-8. PubMed ID: 7783817.
    Abstract:
    We report the case of a 43-year-old man who suffered from obstructive sleep apnea with excessive daytime sleepiness and nocturnal sweating. His initial apnea index of 60/h improved under treatment with an Esmarch device. Apneas were totally suppressed by nCPAP application with a pressure of only 4 mb, but the patient rejected nCPAP therapy. After two years with the Esmarch device he reported increasing temporomandibular joint pain and Esmarch therapy had to be stopped. A cephalometric evaluation showed good prognosis for maxillomandibular advancement osteotomy, which was performed and which suppressed the apneas completely over a period of more than one year. Indication, surgical technique, and risks are discussed.
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