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[用于治疗阻塞性睡眠呼吸暂停综合征的口腔矫治器——耳鼻喉科医生的参与]

[Oral appliances used in treating obstructive sleep apnea syndrome--participation by otolaryngologists].

作者信息

Sato Kiminori

机构信息

Sato Clinic & Hospital, Sleep Disorder Center, Oita.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 2003 Feb;106(2):150-5. doi: 10.3950/jibiinkoka.106.150.

Abstract

In our hospital otolaryngologists fabricate oral appliances (mandibular advancement appliances), decide indications for oral appliance therapy, and conduct combined therapy such as surgery, nasal continuous positive airway pressure (CPAP) therapy, and oral appliance therapy for obstructive sleep apnea syndrome (OSAS). We present a procedure for OSAS oral appliance therapy. We conducted this intervention on 28 patients in the last two years. Its advantages are; (1) widening options for combined OSAS therapy, (2) enabling treatment by otolaryngologists, (3) enabling treatment at the otolaryngologist's outpatient clinic, (4) and simple, nonsurgical, useful therapy in selected patients. Oral appliance therapy for OSAS may be conducted with or without other therapy. Otolarynologists should conduct OSAS oral appliance therapy in combination with other therapy.

摘要

在我们医院,耳鼻喉科医生制作口腔矫治器(下颌前移矫治器),确定口腔矫治器治疗的适应症,并对阻塞性睡眠呼吸暂停低通气综合征(OSAS)进行联合治疗,如手术、鼻腔持续气道正压通气(CPAP)治疗和口腔矫治器治疗。我们介绍一种OSAS口腔矫治器治疗的方法。在过去两年里,我们对28例患者进行了这种干预。其优点包括:(1)拓宽OSAS联合治疗的选择;(2)使耳鼻喉科医生能够进行治疗;(3)能够在耳鼻喉科门诊进行治疗;(4)对选定患者来说是简单、非手术且有用的治疗方法。OSAS的口腔矫治器治疗可以在有或没有其他治疗的情况下进行。耳鼻喉科医生应将OSAS口腔矫治器治疗与其他治疗联合进行。

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