Continuous Positive Airway Pressure and Oral Appliance Hybrid Therapy in Obstructive Sleep Apnea: Patient Comfort, Compliance, and Preference: A Pilot Study

  title={Continuous Positive Airway Pressure and Oral Appliance Hybrid Therapy in Obstructive Sleep Apnea: Patient Comfort, Compliance, and Preference: A Pilot Study},
  author={Grietje E. de Vries and Michiel H. J. Doff and Aarnoud Hoekema and Huib A. M. Kerstjens and Peter Wijkstra},
Methods: Seven patients with moderate to severe OSAS who tolerated their CPAP despite high pressures (≥ 10 cm H2O) were fitted with hybrid therapy. The mandible was set at 70% of patient’s maximum protrusion, and CPAP pressure was set at 6 cm H2O. When OSAS complaints persisted, pressure was increased. After 3 months, a polysomnographic study was performed. At baseline (conventional CPAP) and after 3 months (hybrid therapy) patients filled in questionnaires assessing comfort, compliance, and… 

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