- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Tracheal and airway disorders
- Ear Surgery and Otitis Media
- Sleep and Wakefulness Research
- Cardiovascular and Diving-Related Complications
- Dysphagia Assessment and Management
- Voice and Speech Disorders
- Nasal Surgery and Airway Studies
- Airway Management and Intubation Techniques
- Congenital Ear and Nasal Anomalies
- Respiratory and Cough-Related Research
- Asthma and respiratory diseases
- Hearing, Cochlea, Tinnitus, Genetics
- Reconstructive Facial Surgery Techniques
- Sinusitis and nasal conditions
- Restraint-Related Deaths
- Cardiovascular Syncope and Autonomic Disorders
- Infant Health and Development
- Olfactory and Sensory Function Studies
- Cleft Lip and Palate Research
- Organ and Tissue Transplantation Research
- Sleep and related disorders
- Eosinophilic Esophagitis
- Cardiovascular Disease and Adiposity
University of Antwerp
1996-2019
Ziekenhuisnetwerk Antwerpen Stuivenberg
2018
Antwerp University Hospital
1995-2016
Witten/Herdecke University
2011
Krankenhaus Bethanien
2011
Hôpital Universitaire Dupuytren
2009
Ghent University Hospital
2000
House Clinic
1996
University of Michigan
1996
Mount Alvernia Hospital
1996
In view of the high prevalence and relevant impairment patients with obstructive sleep apnoea syndrome (OSAS) lots methods are offered which promise definitive cures for or improvement OSAS. This report summarises efficacy alternative treatment options in An interdisciplinary European Respiratory Society task force evaluated scientific literature according to standards evidence-based medicine. Evidence supports use mandibular advancement devices mild moderate Maxillomandibular osteotomy...
To study the possible predictive value of drug-induced sleep endoscopy (DISE) in assessing therapeutic response to implanted upper airway stimulation (UAS) for obstructive apnea (OSA). During DISE, artificial is induced by midazolam and/or propofol, and pharyngeal collapse patterns are visualized using a flexible fiberoptic nasopharyngoscope. The level (palate, oropharynx, tongue base, hypopharynx/epiglottis), direction (anteroposterior, concentric, lateral), degree (none, partial, or...
To describe upper airway (UA) collapse patterns during drug-induced sleep endoscopy (DISE) in a large cohort of patients with sleep-disordered breathing (SDB) and to assess associations anthropometric polysomnographic parameters.Observational study.A total 1,249 [age 47 ± 10 y; apnea-hypopnea index (AHI) 18.9 15.3/h; body mass (BMI) 27.2 3.7 kg/m(2)] underwent polysomnography DISE. DISE findings were categorized the following UA levels: palate, oropharynx, tongue base, hypopharynx. The...
To determine variations in interobserver and intraobserver agreement of drug-induced sleep endoscopy (DISE) a cohort experienced versus nonexperienced ear, nose, throat (ENT) surgeons. Prospective, blinded study. Ninety-seven ENT surgeons (90 with DISE; seven experienced) observed six different DISE videos were asked to score the upper airway (UA) level (palate, oropharynx, tongue base, hypopharynx, epiglottis), direction (anteroposterior, concentric, lateral), degree collapse (none; partial...
Mandibular advancement device (MAD) outcome varies between patients. We hypothesized that upper airway collapse sites, patterns, and degrees assessed during baseline drug-induced sleep endoscopy (DISE) affect MAD outcome.One hundred patients with obstructive apnea (OSA) were included underwent type 1 polysomnography. was fitted intraorally at fixed 75% maximal protrusion. A total of 72 completed 3-month follow-up polysomnography DISE. Response defined as apnea-hypopnea index (AHI) reduction...
This prospective clinical study investigates the efficacy of a specific custom-made titratable mandibular advancement device (MAD) for treatment obstructive sleep apnea (OSA). MAD has attachments in frontal teeth area that allow progressive titration mandible.
IMPORTANCEThe main reported reasons for discontinuation of oral appliance therapy sleep-disordered breathing (SDB) are the presence self-perceived adverse effects and self-appreciated lack efficacy.However, these conclusions rely only on subjective compliance data.OBJECTIVE To determine which parameters correlated with objectively measured data therapy.DESIGN, SETTING, AND PARTICIPANTS For 51 outpatients SDB, a prospective clinical trial using was conducted at Antwerp University Hospital...
Chronic rhinitis patients often suffer from unrefreshing sleep and snoring, related to increased nasal resistance airflow. Previous trials based on subjective assessment of snoring have demonstrated beneficial effects Breathe Right (BR), a noninvasive external dilator. Polysomnography (PSG) was applied objectively assess the BR snoring. Twelve nonobese chronic participated in present study, which had randomized, placebo-controlled design. The presence absence apnoea during baseline overnight...
Objectives: Surgical treatment of obstructive sleep apnea (OSA) caused by hypopharyngeal collapse the upper airway can be considered in patients who are intolerant to continuous positive pressure (CPAP). The present procedures addressing hypopharynx invasive and have substantial morbidity limited efficacy. Methods: Ten (mean age, 44 years) with moderate severe OSA, ie, an apnea-hypopnea index (AHI) between 15 50, CPAP intolerance were included a prospective, nonrandomized, multicenter study...
Objective To present the rise and decline of allograft tympanoplasty investigate how challenges it has faced may inform us its future. Data Sources Articles books published over last 48 years that refer to or historical roots. History The first account is by Ned Chalat in 1964; however, whether he was use technique controversial. In 1966, Jean Marquet clinically successful tympanic membranes. Since time, a number surgeons have trialed both en bloc tympano-ossicular techniques tympanomeatal...
Abstract Objectives/Hypothesis: Treatment of hypopharyngeal collapse upper airway is a surgical challenge in obstructive sleep apnea (OSA) patients who fail continuous positive pressure (CPAP). Study Design: A prospective, nonrandomized, multicentered, feasibility study. Methods: Nineteen OSA with an apnea‐hypopnea index (AHI) between 15 and 50 CPAP intolerance were included the Baseline polysomnography (PSG) was measured, 3‐ 6‐month postoperative PSGs recorded. Preoperative home studies,...
Conclusions: Adverse skin reactions were equally distributed among age groups, surgical technique, or presence of a retroauricular incision. Implant loss was observed more frequently in children when compared to adults and elderly.Objective: A bone conduction (osseointegrated) implant can be used for rehabilitation patients with conductive hearing single-sided deafness. The technique has been modified minimize adverse other complications. Two commonly techniques are the linear incision...
Seventy allograft type 1 tympanoplasties in children under 16 years of age were studied retrospectively. Only patients with a tympanic membrane perforation without cholesteatoma and normal ossicular chain included. Short-term long-term anatomic functional results analyzed after mean follow-up 40 months. The overall short-term take rate was 97% the 88%. A number variables alleged prognostic value for surgical outcome analyzed, but none showed statistical correlation either or results. median...