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, Ceci suggère que l'installation d'un masque naso-buccal, dans le but de réduire les fuites non-intentionnelles, ne soit pas une solution pour résoudre ce problème. Indépendamment du type de masque utilisé, l'obstruction nasale [30], le stade de sommeil, la position du sujet, ou le niveau de pression de la PPC, sont autant de facteurs qui peuvent moduler l

, L'étiologie des fuites nonintentionnelles est multifactorielle et complexe, ce qui peut expliquer l'inefficacité du masque naso-buccal pour les corriger chez certains patients

, En effet, dans une analyse de la cohorte de l'OSFP (Observatoire sommeil de la Fédération Française de Pneumologie), incluant plus de deux mille patients

, Le niveau de pression efficace 3 est un point important à prendre en considération lors du choix de l'interface. En effet, la pression efficace moyenne est supérieure d' 1,5 cmH2O (95% CI, -2.24 to -0.93) avec un masque naso-buccal par rapport à celle obtenue avec un masque nasal, vol.85

, ceci peut être expliqué par l'augmentation des résistances pharyngées avec le masque naso-buccal [86], provoquée par la tension des sangles de fixation qui pousse la mandibule vers l'arrière et diminue le calibre de l'oropharynx, vol.87

, De plus, le masque naso-buccal pressurise à la fois le nasopharynx et l'oropharynx sans générer de

, Les fuites non intentionnelles sont à distinguer des fuites intentionnelles : les premières apparaissent soit autour du masque, si le masque est mal ajusté par exemple, ou par la bouche

, Niveau de pression de traitement minimum pour obtenir une correction satisfaisante des évènements respiratoires obstructifs Figure6] Recule mandibulaire provoqué par le masque naso-buccal à l'origine de la diminution du calibre de l'oro-pharynx

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