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睡眠呼吸暂停的外科治疗:一名软骨发育不全儿童的颅面及咽气道形态变化

Surgical treatment for sleep apnea: changes in craniofacial and pharyngeal airway morphology in a child with achondroplasia.

作者信息

Sato Kieko, Niikuni Naoko, Nakajima Ichiro, Shirakawa Tetsuo, Sakata Hideaki

机构信息

Department of Pediatric Dentistry, Nihon University school of Dentistry, Tokyo, Japan.

出版信息

J Oral Sci. 2007 Jun;49(2):173-7. doi: 10.2334/josnusd.49.173.

DOI:10.2334/josnusd.49.173
PMID:17634732
Abstract

Here, we report the case of a male child with achondroplasia who was diagnosed with obstructive sleep apnea and underwent adenoidectomy and tonsillectomy. By analyzing lateral cephalograms, we evaluated the craniofacial and pharyngeal airway morphology immediately before surgery (age, 5 years 6 months) and 1 year 2 months after surgery (age, 6 years 8 months). Adenoidectomy and tonsillectomy dilated the pharynx and improved the craniofacial and pharyngeal morphologies, apparently thus improving the sleep apnea.

摘要

在此,我们报告一例患有软骨发育不全的男童,该患儿被诊断为阻塞性睡眠呼吸暂停,并接受了腺样体切除术和扁桃体切除术。通过分析头颅侧位片,我们评估了手术前即刻(年龄5岁6个月)和术后1年2个月(年龄6岁8个月)的颅面及咽部气道形态。腺样体切除术和扁桃体切除术使咽部扩张,并改善了颅面及咽部形态,显然由此改善了睡眠呼吸暂停。

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