阻塞性睡眠呼吸暂停综合征中舌根阻塞的管理
Management of tongue base obstruction in obstructive sleep apnoea syndrome.
作者信息
Kumar E C, Rao J, Chowdary S, Rao C
机构信息
Dept. of ENT, Head & Neck Surgery, Apollo Hospital, Jubilee Hills, Hyderabad, A.P., India.
出版信息
Indian J Otolaryngol Head Neck Surg. 1999 Dec;52(1):58-62. doi: 10.1007/BF02996435.
Abstract
Studies have shown that the obstruction in OSA is more often than not multicentric. Tongue base obstruction is relatively more difficult to diagnose accurately and treat effectively. In this presentation, an effort is made to suggest two methods of management of this problem. One deals with the surgical management and the second, an alternative non-surgical method.
摘要
研究表明，阻塞性睡眠呼吸暂停（OSA）中的阻塞往往是多部位的。舌根阻塞相对更难准确诊断和有效治疗。在本报告中，我们尝试提出两种解决这个问题的方法。一种是手术治疗方法，另一种是替代性的非手术方法。
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本文引用的文献
1
On Some Causes of Backwardness and Stupidity in Children: And the Relife of these Symptoms in Some Instances by Naso-Pharyngeal Scarifications.论儿童发育迟缓与智力低下的某些原因：以及通过鼻咽部划痕法在某些情况下缓解这些症状的方法。
Br Med J. 1889 Sep 28;2(1500):711-2. doi: 10.1136/bmj.2.1500.711.
2
Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients.阻塞性睡眠呼吸暂停综合征：306例连续接受手术治疗患者的回顾
Otolaryngol Head Neck Surg. 1993 Feb;108(2):117-25. doi: 10.1177/019459989310800203.
3
Surgical treatment of sleep apnea.
Arch Otolaryngol. 1983 Aug;109(8):508-12. doi: 10.1001/archotol.1983.00800220014004.
4
Snoring, and some obstructive sleep apnea, can be cured by oropharyngeal surgery.
Arch Otolaryngol. 1983 Aug;109(8):503-7. doi: 10.1001/archotol.1983.00800220009003.
5
Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty.阻塞性睡眠呼吸暂停综合征解剖学异常的手术矫正：悬雍垂腭咽成形术。
Otolaryngol Head Neck Surg. 1981 Nov-Dec;89(6):923-34. doi: 10.1177/019459988108900609.
6
Insomnia with sleep apnea: a new syndrome.伴有睡眠呼吸暂停的失眠：一种新综合征。
Science. 1973 Aug 31;181(4102):856-8. doi: 10.1126/science.181.4102.856.
7
Indications for palatopharyngoplasty.腭咽成形术的适应症。
Arch Otolaryngol. 1985 Oct;111(10):659-63. doi: 10.1001/archotol.1985.00800120053005.
8
Palatopharyngoplasty failure, cephalometric roentgenograms, and obstructive sleep apnea.腭咽成形术失败、头影测量X线片与阻塞性睡眠呼吸暂停
Otolaryngol Head Neck Surg. 1985 Apr;93(2):240-4. doi: 10.1177/019459988509300222.
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