{"id":1335,"date":"2024-10-16T11:23:19","date_gmt":"2024-10-16T09:23:19","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1335"},"modified":"2024-10-16T11:23:19","modified_gmt":"2024-10-16T09:23:19","slug":"phaenotypus-und-die-wirkung-von-unterkieferprotrusionsschienen","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2024\/10\/16\/phaenotypus-und-die-wirkung-von-unterkieferprotrusionsschienen\/","title":{"rendered":"Ph\u00e4notypus und die Wirkung von Unterkieferprotrusionsschienen"},"content":{"rendered":"\n<p>Neuere Daten erlauben anhand der Daten der Polygraphie und der Polysomnographie die Unterscheidung verschiedener Ph\u00e4notypen der obstruktiven Schlafapnoe: \u00fcberwiegend anatomische Ursachen (sehr enger Pharynx), vermindert effektive dilatatorische Muskulatur, niedrige Arousalschwelle, und instabile Kontrolle der Atmung. Werden diese Daten hinzugezogen, haben (verst\u00e4ndlicherweise) die Patienten mit \u00fcberwiegend anatomischen Ursachen bessere Erfolge beim Einsatz von Unterkieferprotrusionsschienen als die anderen Gruppen.\u00a0(Manetta IP, Duarte BB, Nucci LB, Enes CC. Relationship between OSA pathophysiological phenotypes and treatment response to mandibular advancement devices: a pilot study. J Clin Sleep Med. 2024 Aug 1;20(8):1321-1330. doi: 10.5664\/jcsm.11138. PMID: 38557332; PMCID: PMC11294123.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neuere Daten erlauben anhand der Daten der Polygraphie und der Polysomnographie die Unterscheidung verschiedener Ph\u00e4notypen der obstruktiven Schlafapnoe: \u00fcberwiegend anatomische Ursachen (sehr enger Pharynx), vermindert effektive dilatatorische Muskulatur, niedrige Arousalschwelle, und instabile Kontrolle der Atmung. Werden diese Daten hinzugezogen, haben (verst\u00e4ndlicherweise) die Patienten mit \u00fcberwiegend anatomischen Ursachen bessere Erfolge beim Einsatz von Unterkieferprotrusionsschienen als die [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1335","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Neuere Daten erlauben anhand der Daten der Polygraphie und der Polysomnographie die Unterscheidung verschiedener Ph\u00e4notypen der obstruktiven Schlafapnoe: \u00fcberwiegend anatomische Ursachen (sehr enger Pharynx), vermindert effektive dilatatorische Muskulatur, niedrige Arousalschwelle, und instabile Kontrolle der Atmung. Werden diese Daten hinzugezogen, haben (verst\u00e4ndlicherweise) die Patienten mit \u00fcberwiegend anatomischen Ursachen bessere Erfolge beim Einsatz von Unterkieferprotrusionsschienen als die&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1335","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1335"}],"version-history":[{"count":1,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1335\/revisions"}],"predecessor-version":[{"id":1336,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1335\/revisions\/1336"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1335"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1335"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}