Division of Sleep Medicine, Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Respir Care. 2010 Oct;55(10):1314-21; discussion 1321.
The first-line treatment of obstructive sleep apnea (OSA) is positive airway pressure (PAP). If PAP fails to adequately treat the OSA, oral appliances that enlarge the airway (mandibular advancement devices primarily, or the tongue retaining device if the patient has no dentition) are the next line of therapy. The third-line treatment of OSA is surgery. Surgeries that have been used to treat OSA include septoplasty, tonsillectomy adenoidectomy, uvulopalatopharyngoplasty, mandibular advancement procedures, tongue reduction surgery, hyoid bone suspension, maxillofacial surgery, and bariatric procedures. There are scant data to support or compare the various procedures.
阻塞性睡眠呼吸暂停（OSA）的一线治疗方法是气道正压通气（PAP）。如果 PAP 不能充分治疗 OSA，则使用口腔器械来扩大气道（主要是下颌前伸装置，如果患者没有牙齿则使用舌保持器）作为二线治疗方法。OSA 的三线治疗方法是手术。已用于治疗 OSA 的手术包括鼻中隔成形术、扁桃体切除术、腺样体切除术、悬雍垂腭咽成形术、下颌前伸术、舌缩小术、舌骨悬吊术、颌面外科和减重手术。目前很少有数据支持或比较各种手术。
