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Page 53
Volume 09 Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries.com
August 15-17, 2019 Rome, Italy
&
3rd International Conference on Craniofacial Surgery
4th European Otolaryngology-ENT Surgery Conference
Neuromuscular electrical stimulation in Obstructive Sleep Apnea Syndrome (OSAS)
Ana Paula Lefèvre M
National School of Integrated Health, Brazil
Obstructive sleep apnea syndrome (OSAS) is characterized by repetitive episodes of upper airway occlusion
during sleep associated with sleep fragmentation and daytime hypersomnolence. It's well established that the
most effective treatment for OSAS is continuous positive airway pressure (CPAP) but adherence is limited. However,
new and promising therapeutic modalities have being used to improve the management of swallowing, voice and
orofacial myofunctional conditions. One of them is the neuromuscular electrical stimulation (NMES) used to
promote sensory and excitatory stimuli that facilitate strength gain and endurance of musculature and improve
orofacial functions as well.
Based on studies of other specialties and on our clinical experience, we perform a therapy using intraoral
neuromuscular electrical stimulation at a sensory and excitatory level with the FORMA® extensors on the soft palate,
lateral pharyngeal wall, lips, tongue (lateral/lower side) and cheeks; myofunctional oral and oropharyngeal exercises
are associated. Noticeable improvement on the Mallampati score, sleep questionnaires (Epworth and Pittsburg),
polysomnography data and snoring measures were achieved as result.
Details of two OSAS cases will be shown demonstrating the technique including parameters of electrical stimulation
used. The combined use of NMES, and "conventional" therapy techniques was effective to reduce the symptoms of
sleep apnea and offer stronger patients adherence.
Biography
Dr. Ana Paula Lefèvre M. - Speech Therapist; Master in Health Sciences; PhD in Public Health Coordinator of the Epidemiology Committee of the Sociedade
Brasileira de Fonoaudiologia Founding partner of ENSI - National School of Integrated Health, São Paulo, Brazil Experience as a graduate and post-graduation
teacher; also work as clinical therapist on orofacial and myofunctional disorders and neurological rehabilitation. Currently coordinates the Training course in
Electrical Stimulation applied to the Speech and Hearing Clinic
Ana Paula Lefèvre M, Otolaryngol (Sunnyvale) 2019, Volume 09