Krekmanov L, Andersson L, Ringqvist M, Wilhelmsson B, Walker-Engström M L, Tegelberg A, Ringqvist I
Department of Oral and Maxillofacial Surgery, Specialist Centrum of Folktandvården, Västerås, Sweden.
Int J Adult Orthodon Orthognath Surg. 1998;13(4):289-98.
In a prospective randomized study on treatment of obstructive sleep apnea syndrome, anterior-inferior mandibular osteotomy with the purpose of stretching the suprahyoidal muscle was performed as one of the treatment methods. Ten men aged 20 to 65 years, without cardiovascular or neurologic disease, with normal maxillomandibular relation, and having an apnea index between 5 and 25 were included in the study. After a specially designed osteotomy of the chin, the anterior suprahyoidal muscles were detached, stretched approximately 10 to 12 mm, and sutured. The chin was then placed in its original position and post-operative evaluation was performed. Although there were initial reports of decreased daytime sleepiness and less snoring after surgery, the results after 12 months were discouraging. Somnographic registration (apnea index, apnea/hypopnea index, and oxygen desaturation index) as well as cephalometric analysis failed to show positive results. Hence, suspension of the suprahyoidal muscles as a method of treatment for obstructive sleep apnea syndrome cannot be recommended.
在一项关于阻塞性睡眠呼吸暂停综合征治疗的前瞻性随机研究中，作为治疗方法之一，进行了下颌前下截骨术，目的是拉伸舌骨上肌群。研究纳入了10名年龄在20至65岁之间、无心血管或神经系统疾病、颌骨关系正常且呼吸暂停指数在5至25之间的男性。在进行了专门设计的颏部截骨术后，分离舌骨上肌群，将其拉伸约10至12毫米并缝合。然后将颏部放回原位并进行术后评估。尽管最初有报道称术后白天嗜睡减少且打鼾减轻，但12个月后的结果令人沮丧。多导睡眠图记录（呼吸暂停指数、呼吸暂停/低通气指数和氧饱和度下降指数）以及头影测量分析均未显示出阳性结果。因此，不推荐将舌骨上肌群悬吊作为阻塞性睡眠呼吸暂停综合征的一种治疗方法。
