I have a 53 yr old male, 220 lbs, 70″ tall, BMI 31.6.
Hx of physician diagnosed OSA prior to seeing us. Was prescribed a CPAP.
CPAP non-compliant and refuses to wear.
Pt has been in a Narval since 8/13/15.
Max protrusion 12mm.
Pt started at 30 connectors, bilateral.
Pt now at 23 connectors, bilateral.
Results below are from first StatDDS (prior to Narval) to now (with 23 connectors)
AHI: 46.3—-> 21.7
Snore Index: 45.5%—–>21.6%
Pt reports feeling more rested now and partner reports less snoring. No jaw pain/issues.
My question is should I keep advancing his connectors until we get his AHI under 5? The Narval rep said that we would normally never have to advance someone more than 2 connectors after their 50% protrusive position.
He is still very high- looking at both his AHI and Oxygen levels. I usually start the patient at 60% protrusive and even sometimes edge to edge. At this point since he is at 50% you may want to increase his VDO. Let me know this goes.