%0 Journal Article %T Adherence to CPAP with a nasal mask combined with mandibular advancement device versus an oronasal mask: a randomized crossover trial %+ Hypoxie et PhysioPathologie (HP2) %+ Centre Hospitalier Universitaire [Grenoble] (CHU) %+ Agir à dom. %+ Institut Universitaire de Cardiologie et de Pneumologie de Québec (IUCPQ) %A Léotard, Antoine %A Lesgoirres, Matthieu %A Daabek, Najeh %A Lebret, Marius %A Bailly, Sebastien %A Verain, Alain %A Series, Fréderic %A Pépin, Jean-Louis %A Borel, Jean-Christian %< avec comité de lecture %@ 1520-9512 %J Sleep and Breathing %I Springer Verlag %V 23 %N 3 %P 885-888 %8 2019-09 %D 2019 %R 10.1007/s11325-018-01772-5 %M 30689098 %K Continuous positive airway pressure %K Mandibular advancement device %K Nasal mask %K Obstructive sleep apnea %K Treatment adherence and compliance %Z Life Sciences [q-bio]Journal articles %X Purpose: Evidence for the management of CPAP-treated obstructive sleep apnea suggests that oronasal masks reduce mouth leaks at the expense of higher pressures and poorer adherence. Some authors have proposed the use of mandibular advancement devices in combination with nasal masks to address this. The aim of this study was to assess adherence to CPAP after 1 month's use of a nasal mask with a mandibular advancement device and to compare adherence with an oronasal mask.Methods: A randomized crossover trial design to assess whether a mandibular advancement device combined with a nasal mask would improve CPAP adherence compared to an oronasal mask.Results: There was no improvement in CPAP adherence and self-reported interface-related pain was significantly higher with the combined treatment.Conclusions: Although the combined treatment reduced pressures, likely by improving upper airway patency, it may only be appropriate for a small number of patients due to associated discomfort.Trial registration: NCT01889472. %G English %L inserm-03807225 %U https://inserm.hal.science/inserm-03807225 %~ INSERM %~ UGA %~ UGA-COMUE