Document Detail


Silencing the snorers: no gain without pain?
MedLine Citation:
PMID:  16690008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the estimated effects of conservative surgery to those of a mandibular advancement splint (MAS) in the treatment of habitual snoring. METHOD: Prospective, observational, non-randomized cohort study. RESULTS: Adequate follow-up data were available for 88 participants (23 following coblation, 65 after provision of an MAS). The mean reduction in snoring symptoms inventory (SSI) score for the 23 subjects undergoing coblation was 9.83 (+/-standard deviation 11.43). Reported pain duration was greatest with uvula amputation, but uvula coblation did not always adequately reduce its bulk. Of the 65 MAS patients, 39 (60 per cent) used the device regularly, with a mean fall in SSI of 12 (+/-16.4, p=0.001). Approximately one in four patients in both groups achieved a significant fall in SSI (>15 points), and the measured effect sizes were close to 0.75 for both treatments. CONCLUSIONS: Mandibular advancement splints and coblation have similar efficacies. However, their efficacy does not match that of radical surgery.
Authors:
J A Wilson; S E Lester; G J Gibson; S Anari; J G Steele; I N Steen; G I McCracken
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2006-05-12
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  120     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-12     Completed Date:  2007-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  570-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology Head and Neck Surgery, University of Newcastle, Freeman Hospital, Newcastle upon Tyne, UK.
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MeSH Terms
Descriptor/Qualifier:
Humans
Mandible / surgery*
Mandibular Advancement / methods*
Occlusal Splints*
Pain Measurement
Pain, Postoperative / etiology
Palate / surgery
Patient Compliance
Prospective Studies
Snoring / surgery*
Treatment Outcome
Uvula / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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