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Volume 49
Issue 2
10.52010/ijom.2023.49.2.1
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International Journal of Orofacial Myology and Myofunctional Therapy is published by MDPI from Volume 51 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with the previous journal publisher.
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Review

What Are We Missing in Adult Obstructive Sleep Apnea Clinical Evaluation? Review of Official Guidelines

by
Eduardo J. Correa
1,
Carlos O'Connor-Reina
1,*,
Laura Rodriguez-Alcalá
1,
Diego M. Conti
2,
Alberto Rabino
3,
Peter M. Baptista
4,
Maria-Teresa Garcia-Iriarte
5 and
Guillermo Plaza
6
1
Hospital Quironsalud, Marbella, Spain
2
University, Gent, Belgium
3
Hospital Británico de Buenos Aires, Autónoma de Buenos Aires, Argentina
4
Clinica Universitaria de Navarra, Pamplona, Spain
5
Hospital Universitario Virgen de Valme, Sevilla, Spain
6
Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain
*
Author to whom correspondence should be addressed.
Int. J. Orofac. Myol. Myofunct. Ther. 2023, 49(2), 1-10; https://doi.org/10.52010/ijom.2023.49.2.1
Submission received: 8 June 2022 / Revised: 8 July 2022 / Accepted: 25 August 2022 / Published: 1 January 2023

Abstract

Purpose: This article presents a narrative review of current recommendations for the clinical evaluation and management of adult patients with obstructive sleep apnea (OSA) to identify points missing from a myofunctional perspective. Methods: The authors reviewed current official guidelines for adult patients with OSA, searching clinical evaluation and treatment recommendations for myofunctional therapy. Results: None of the current guidelines for evaluation of adult OSA recommend performing a myofunctional evaluation. Only two guidelines consider myofunctional therapy (MFT) as a treatment modality for adult patients with OSA. Conclusion: Despite the role of the pharyngeal dilator muscles as an essential contributor to the pathogenesis of OSA, this review has shown that myofunctional assessment is still not a standard recommendation in current guidelines for adult OSA. Recent guidelines occasionally include MFT as a therapeutic tool for OSA. To strengthen the knowledge base and evidence for including MFT treatment for adult patients with OSA, the authors encourage physicians to incorporate myofunctional evaluation into their regular clinical practice.
Keywords: obstructive sleep apnea; myofunctional therapy; clinical practice guideline; narrative review; evaluation; recommendations obstructive sleep apnea; myofunctional therapy; clinical practice guideline; narrative review; evaluation; recommendations

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MDPI and ACS Style

Correa, E.J.; O'Connor-Reina, C.; Rodriguez-Alcalá, L.; Conti, D.M.; Rabino, A.; Baptista, P.M.; Garcia-Iriarte, M.-T.; Plaza, G. What Are We Missing in Adult Obstructive Sleep Apnea Clinical Evaluation? Review of Official Guidelines. Int. J. Orofac. Myol. Myofunct. Ther. 2023, 49, 1-10. https://doi.org/10.52010/ijom.2023.49.2.1

AMA Style

Correa EJ, O'Connor-Reina C, Rodriguez-Alcalá L, Conti DM, Rabino A, Baptista PM, Garcia-Iriarte M-T, Plaza G. What Are We Missing in Adult Obstructive Sleep Apnea Clinical Evaluation? Review of Official Guidelines. International Journal of Orofacial Myology and Myofunctional Therapy. 2023; 49(2):1-10. https://doi.org/10.52010/ijom.2023.49.2.1

Chicago/Turabian Style

Correa, Eduardo J., Carlos O'Connor-Reina, Laura Rodriguez-Alcalá, Diego M. Conti, Alberto Rabino, Peter M. Baptista, Maria-Teresa Garcia-Iriarte, and Guillermo Plaza. 2023. "What Are We Missing in Adult Obstructive Sleep Apnea Clinical Evaluation? Review of Official Guidelines" International Journal of Orofacial Myology and Myofunctional Therapy 49, no. 2: 1-10. https://doi.org/10.52010/ijom.2023.49.2.1

APA Style

Correa, E. J., O'Connor-Reina, C., Rodriguez-Alcalá, L., Conti, D. M., Rabino, A., Baptista, P. M., Garcia-Iriarte, M.-T., & Plaza, G. (2023). What Are We Missing in Adult Obstructive Sleep Apnea Clinical Evaluation? Review of Official Guidelines. International Journal of Orofacial Myology and Myofunctional Therapy, 49(2), 1-10. https://doi.org/10.52010/ijom.2023.49.2.1

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