milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2025.2.88milmed-143Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESИспользование внутриротовых устройств для лечения синдрома обструктивного апноэ снаUse of intraoral devices for treatment of obstructive sleep apnea syndromeГребеньН. И.GrebenN. I.ЧеканВ. Л.ChekanV. L.

Минск

ГудныйГ. В.GudnyG. V.НиделькоА. A.NidelkoA. A.ГУ «Республиканский научно-практический центр оториноларингологии»BelarusУчреждение образования «Белорусский государственный медицинский университет»Belarus202522082026028896Copyright © Гребень Н.И., Чекан В.Л., Гудный Г.В., Ниделько А.A., 20262026Гребень Н.И., Чекан В.Л., Гудный Г.В., Ниделько А.A.Greben N.I., Chekan V.L., Gudny G.V., Nidelko A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/143

В статье представлен анализ литературных данных об использовании и эффективности внутриротовых устройств при лечении синдрома обструктивного апноэ сна. Использование внутриротовых аппликаторов на сегодняшний день является одной из стандартных методик, рекомендуемых для консервативного лечения обструктивных нарушений дыхания во время сна. Существует два принципиально отличающихся по механизму действия типа внутриротовых приспособлений: действующие на положение нижней челюсти или фиксирующие язык. Если в первом случае увеличение просвета верхних дыхательных путей достигается за счет выдвижения нижней челюсти, то во втором предотвращается западение языка во время сна. Внутриротовые устройства характеризуются высокой комплаентностью и приверженностью пациентов. В настоящее время устройства для выдвижения нижней челюсти рассматриваются как возможная альтернатива СИПАП-терапии или хирургическому лечению и являются методом выбора при легкой и средней степени тяжести синдрома обструктивного апноэ сна. Для выявления соответствующих исследований был проведен поиск в базах данных Pubmed, Medline и Cochrane Library, Elibrary, Google Academy с использованием ключевых терминов, связанных с внутриротовыми устройствами при синдроме обструктивного апноэ сна.

The article presents an analysis of literature data on the use and efficacy of intraoral devices in the treatment of obstructive sleep apnea syndrome. The use of intraoral applicators is currently one of the standard techniques, recommended for the conservative treatment of obstructive sleep disordered breathing during sleep. There are two fundamentally different types of intraoral devices by their mechanism of action: acting on the position of the mandible or fixing the tongue. If in the first case, increasing the lumen of the upper airway is achieved by extending the lower jaw, in the second case prevents tongue retraction during sleep. Intraoral devices are characterized by high compliance and patient adherence. Currently, mandibular advancement devices are considered a possible alternative to CIPAP therapy or surgical treatment and are the method of choice for mild to moderate obstructive sleep apnea syndrome. To identify relevant studies we searched in Pubmed, Medline and Cochrane Library, Elibrary, Google Academy databases using key terms related to intraoral devices.Using key terms related to intraoral devices in obstructive sleep apnea syndrome.

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The authors declare that there are no conflicts of interest present.