{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:25:15Z","timestamp":1741238715270,"version":"3.38.0"},"reference-count":60,"publisher":"JLE","issue":"3-4","license":[{"start":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:00:00Z","timestamp":1587686400000},"content-version":"vor","delay-in-days":236,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p><jats:bold>Introduction :<\/jats:bold> Le traitement du syndrome d\u2019apn\u00e9es-hypopn\u00e9es\nobstructives du sommeil (SAHOS) doit permettre la suppression des sympt\u00f4mes\net pouvoir \u00e9galement pr\u00e9venir ses cons\u00e9quences imm\u00e9diates et \u00e0 long\nterme. <jats:bold>Mat\u00e9riels et m\u00e9thodes :<\/jats:bold> L\u2019\u00e9valuation de l\u2019efficacit\u00e9 des traitements repose,\naujourd\u2019hui, sur la normalisation de l\u2019index d\u2019apn\u00e9es-hypopn\u00e9es (IAH), de la\nsaturation en oxyg\u00e8ne et sur la disparition de la fragmentation du sommeil.\nLe suivi clinique et biologique des comorbidit\u00e9s doit \u00eatre assur\u00e9. L\u2019observance\nau traitement, \u00e9l\u00e9ment majeur de r\u00e9ussite, doit \u00eatre surveill\u00e9e. <jats:bold>R\u00e9sultats :<\/jats:bold> La\nventilation par pression positive continue (PPC) est toujours le traitement le\nplus efficace et le plus utilis\u00e9. Mais l\u2019orth\u00e8se d\u2019avanc\u00e9e mandibulaire (OAM)\nest d\u00e9sormais recommand\u00e9e en premi\u00e8re intention dans les formes mod\u00e9r\u00e9es en\nl\u2019absence de comorbidit\u00e9s cardiovasculaires (CV) s\u00e9v\u00e8res et reste une alternative\nth\u00e9rapeutique en cas de refus ou d\u2019intol\u00e9rance \u00e0 la PPC. Une prise en charge\nnutritionnelle en cas d\u2019ob\u00e9sit\u00e9 et un programme d\u2019activit\u00e9 physique doivent \u00eatre\nsyst\u00e9matiquement propos\u00e9s. Une r\u00e9duction des troubles respiratoires nocturnes\npeut \u00e9galement \u00eatre obtenue gr\u00e2ce \u00e0 un dispositif anti-d\u00e9cubitus dorsal en cas de\nSAHOS positionnel, ou en limitant les mouvements de fluides. L\u2019apport de la\nth\u00e9rapie myofonctionnelle est en cours d\u2019\u00e9valuation. Tr\u00e8s r\u00e9cemment, une \u00e9tude a\ntest\u00e9 l\u2019efficacit\u00e9 d\u2019un traitement pharmacologique sur la s\u00e9v\u00e9rit\u00e9 du SAHOS et la\nr\u00e9activit\u00e9 du g\u00e9nioglosse, qui semble \u00eatre prometteur. <jats:bold>Conclusion :<\/jats:bold> L\u2019\u00e9valuation\nde ces diff\u00e9rents traitements et de leur combinaison devrait permettre d\u2019\u00e9voluer\nvers une prise en charge personnalis\u00e9e adapt\u00e9e \u00e0 chaque patient.<\/jats:p>","DOI":"10.1051\/orthodfr\/2019032","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T08:23:42Z","timestamp":1587716622000},"page":"379-387","source":"Crossref","is-referenced-by-count":1,"title":["Traitement non chirurgical des troubles respiratoires obstructifs du sommeil de l\u2019adulte"],"prefix":"10.1684","volume":"90","author":[{"given":"Carole","family":"Philippe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18929","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1093\/sleep\/34.1.111","volume":"34","author":"Antic","year":"2011","journal-title":"Sleep"},{"key":"R2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.smrv.2016.11.004","volume":"36","author":"Barnes","year":"2017","journal-title":"Sleep medicine reviews"},{"issue":"4","key":"R3","doi-asserted-by":"crossref","first-page":"376","DOI":"10.5664\/JCSM.1194","volume":"7","author":"Bignold","year":"2011","journal-title":"J Clin Sleep Med"},{"issue":"21","key":"R4","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1001\/jama.2015.16303","volume":"314","author":"Bratton","year":"2015","journal-title":"JAMA"},{"issue":"12","key":"R5","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1136\/thoraxjnl-2013-204993","volume":"69","author":"Bratton","year":"2014","journal-title":"Thorax"},{"issue":"5","key":"R6","doi-asserted-by":"crossref","first-page":"669","DOI":"10.5665\/sleep.4652","volume":"38","author":"Camacho","year":"2015","journal-title":"Sleep"},{"issue":"2","key":"R7","doi-asserted-by":"crossref","first-page":"115","DOI":"10.7326\/0003-4819-156-2-201201170-00006","volume":"156","author":"Campos-Rodriguez","year":"2012","journal-title":"Ann Intern Med"},{"issue":"2","key":"R8","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1093\/sleep\/7.2.110","volume":"7","author":"Cartwright","year":"1984","journal-title":"Sleep"},{"issue":"6","key":"R9","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/MCP.0b013e3283319b12","volume":"15","author":"Chan","year":"2009","journal-title":"Curr Opin Pulm Med"},{"issue":"24","key":"R10","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1056\/NEJMoa1306187","volume":"370","author":"Chirinos","year":"2014","journal-title":"N Engl J Med"},{"issue":"7","key":"R11","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.jfma.2016.08.002","volume":"116","author":"Chuang","year":"2017","journal-title":"J Formos Med Assoc"},{"key":"R12","unstructured":"de Almeida FR, Cistulli P, Fleury B, Gagnadoux F, Mandibular advancement devices. 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