下颌前伸修复术治疗阻塞性睡眠呼吸暂停综合征的临床疗效

Clinical efficacy of prosthetic mandibular advancement on obstructive sleep apnea syndrome.

作者信息

Ishida M, Inoue Y, Okamoto K, Suto Y, Higami S, Kawahara R, Ryoke K

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Tottori University, Yonago, Japan.

出版信息

Psychiatry Clin Neurosci. 1999 Apr;53(2):323-5. doi: 10.1046/j.1440-1819.1999.00552.x.

DOI:10.1046/j.1440-1819.1999.00552.x

PMID:10459725

Abstract

In order to clarify the efficacy and indication of prosthetic mandibular advancement (PMA) on obstructive sleep apnea syndrome (OSAS), we made a comparison of both the polysomnographic findings and the upper airway configuration between before and during PMA on 19 OSAS patients. During PMA, there was a significant decreased apnea hypopnea index compared to before treatment. The changes in magnetic resonance imaging of the upper airway during sleep with PMA indicated that the treatment is regarded to be the first choice for OSAS patients with glossopharyngeal obstruction. In addition to that, the treatment might be considered for use in velopharyngeal obstruction.

摘要

为了阐明人工下颌前移（PMA）治疗阻塞性睡眠呼吸暂停综合征（OSAS）的疗效和适应证，我们对19例OSAS患者在PMA治疗前和治疗期间的多导睡眠图结果及上气道形态进行了比较。在PMA治疗期间，与治疗前相比，呼吸暂停低通气指数显著降低。PMA治疗时睡眠期间上气道的磁共振成像变化表明，该治疗被认为是患有舌咽阻塞的OSAS患者的首选治疗方法。除此之外，对于腭咽阻塞患者也可考虑采用该治疗方法。