下颌骨牵张成骨术对因舌后气道阻塞继发阻塞性睡眠呼吸暂停的成年患者口咽气道的影响。
Impact of mandibular distraction osteogenesis on the oropharyngeal airway in adult patients with obstructive sleep apnea secondary to retroglossal airway obstruction.
作者信息
Manikandhan Ramanathan, Lakshminarayana Ganugapanta, Sneha Pendem, Ananthnarayanan Parameshwaran, Naveen Jayakumar, Sailer Hermann F
机构信息
Meenakshi Cleft & Craniofacial Centre, Meenakshi Ammal Dental College, Alapakkam Main Road, Madhuravoyal, Chennai, India.
出版信息
J Maxillofac Oral Surg. 2014 Jun;13(2):92-8. doi: 10.1007/s12663-013-0493-8. Epub 2013 Mar 28.
AIM
To evaluate the impact of mandibular advancement by distraction osteogenesis on the oropharyngeal airway in adult patients with retroglossal airway obstruction using two different techniques of mandibular distraction.
MATERIALS AND METHODS
13 adult patients with mandibular hypoplasia secondary to TMJ ankylosis with OSAS and radiographic, CT and polysomnographic evidence of OSAS were included in the study. MDO was performed (corpus distraction in 8 cases and morphometric distraction in 5 patients). Post-operatively the patients were followed up by radiographs, CT and polysomnography after 1 month and 6 months.
RESULTS
There was an increase in the linear dimension of mandible by 11.07 mm, the volume by 19.3% and a decrease in AHI from 44.8 to 13.2.
CONCLUSION
Mandibular distraction (corpus and orthomorphic-equivocal results) is an effective method of relieving the retroglossal airway obstruction in adult patients with OSAS.
目的
采用两种不同的下颌骨牵张技术，评估牵张成骨术使下颌骨前移对成年舌后气道阻塞患者口咽气道的影响。
材料与方法
本研究纳入13例因颞下颌关节强直继发下颌骨发育不全且患有阻塞性睡眠呼吸暂停综合征（OSAS），并有OSAS的影像学、CT及多导睡眠图证据的成年患者。实施下颌骨牵张成骨术（8例行体部牵张，5例行形态测量性牵张）。术后1个月和6个月对患者进行X线片、CT及多导睡眠图随访。
结果
下颌骨线性尺寸增加11.07毫米，体积增加19.3%，呼吸紊乱指数从44.8降至13.2。
结论
下颌骨牵张术（体部牵张和形态测量性牵张——结果不明确）是缓解成年OSAS患者舌后气道阻塞的有效方法。
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