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J Maxillofac Oral Surg. 2014 Jun;13(2):92-8. doi: 10.1007/s12663-013-0493-8. Epub 2013 Mar 28.
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Paediatr Anaesth. 2016 Apr;26(4):399-404. doi: 10.1111/pan.12869. Epub 2016 Feb 23.
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Pre-arthroplastic mandibular distraction osteogenesis for the correction of OSA in TMJ ankylosis: a prospective observational study of 25 cases.关节置换术前下颌骨牵张成骨术治疗颞下颌关节强直所致阻塞性睡眠呼吸暂停：25例前瞻性观察研究
Oral Maxillofac Surg. 2018 Dec;22(4):409-418. doi: 10.1007/s10006-018-0722-x. Epub 2018 Sep 25.
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Does distraction osteogenesis improve the airway volume and quality of life of obstructive sleep apnoea patients secondary to temporomandibular joint ankylosis?分散式骨生成术是否能改善因颞下颌关节强直而导致阻塞性睡眠呼吸暂停患者的气道容积和生活质量？
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Mandibular distraction osteogenesis versus sagittal split ramus osteotomy in managing obstructive sleep apnea: A randomized clinical trial.下颌骨牵引成骨术与矢状劈开截骨术治疗阻塞性睡眠呼吸暂停：一项随机临床试验。
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Distraction osteogenesis in correction of micrognathia accompanying obstructive sleep apnea syndrome.牵引成骨术矫治伴阻塞性睡眠呼吸暂停综合征的小颌畸形
Plast Reconstr Surg. 2003 Nov;112(6):1549-57; discussion 1558-9. doi: 10.1097/01.PRS.0000086734.74795.C4.
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[Distraction osteogenesis in correction of mandibular micrognathia accompanying obstructive sleep apnea syndrome].[牵引成骨术矫治伴阻塞性睡眠呼吸暂停综合征的下颌小颌畸形]
Zhonghua Yi Xue Za Zhi. 2001 Aug 25;81(16):978-82.

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Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.成人阻塞性睡眠呼吸暂停患者行手术咨询转诊：美国睡眠医学学会系统评价、荟萃分析和 GRADE 评估。
J Clin Sleep Med. 2021 Dec 1;17(12):2507-2531. doi: 10.5664/jcsm.9594.
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Micrognathia with temporomandibular joint ankylosis and obstructive sleep apnea treated with mandibular distraction osteogenesis using skeletal anchorage: a case report.采用骨锚定的下颌骨牵引成骨术治疗小下颌伴颞下颌关节强直和阻塞性睡眠呼吸暂停：病例报告。
Head Face Med. 2017 Nov 10;13(1):20. doi: 10.1186/s13005-017-0150-4.

本文引用的文献

1
Morphometric basis for orthomorphic correction of mandibular asymmetry.下颌不对称正形矫正的形态计量学基础。
J Oral Maxillofac Surg. 2008 Jul;66(7):1523-31. doi: 10.1016/j.joms.2007.06.683.
2
Meta-analysis of mandibular distraction osteogenesis: clinical applications and functional outcomes.下颌骨牵张成骨的Meta分析：临床应用与功能结果
Plast Reconstr Surg. 2008 Mar;121(3):54e-69e. doi: 10.1097/01.prs.0000299285.97379.35.
3
Primary mandibular distraction for management of nocturnal desaturations secondary to temporomandibular joint (TMJ) ankylosis.原发性下颌骨牵张成骨术治疗颞下颌关节强直继发的夜间低氧血症。
Int J Pediatr Otorhinolaryngol. 2008 Mar;72(3):385-9. doi: 10.1016/j.ijporl.2007.11.015.
4
Surgical changes of posterior airway space in obstructive sleep apnea.阻塞性睡眠呼吸暂停患者气道后间隙的手术改变
Oral Maxillofac Surg Clin North Am. 2002 Aug;14(3):385-99. doi: 10.1016/s1042-3699(02)00033-x.
5
Simultaneous genial distraction and interposition arthroplasty for management of sleep apnoea associated with temporomandibular joint ankylosis.同时行颏部牵张成骨与关节盘置换术治疗颞下颌关节强直相关的睡眠呼吸暂停。
Int J Oral Maxillofac Surg. 2007 Sep;36(9):845-8. doi: 10.1016/j.ijom.2007.05.004. Epub 2007 Jul 5.
6
Three-dimensional changes in upper airways of patients with obstructive sleep apnea following maxillomandibular advancement.阻塞性睡眠呼吸暂停患者上颌下颌前移后上气道的三维变化
J Oral Maxillofac Surg. 2007 Jan;65(1):6-12. doi: 10.1016/j.joms.2005.11.119.
7
Relief of upper airway obstruction with mandibular distraction surgery: Long-term quantitative results in young children.下颌骨牵张成骨手术治疗上气道梗阻：幼儿长期定量研究结果
Arch Otolaryngol Head Neck Surg. 2006 Apr;132(4):437-41. doi: 10.1001/archotol.132.4.437.
8
Distraction osteogenesis in management of pediatric airway: evidence to support its use.
J Oral Maxillofac Surg. 2005 Aug;63(8):1206-8. doi: 10.1016/j.joms.2005.04.010.
9
Bilateral mandibular distraction for patients with compromised airway analyzed by three-dimensional CT.通过三维CT分析气道受损患者的双侧下颌骨牵张成骨术。
Int J Oral Maxillofac Surg. 2005 Jan;34(1):9-18. doi: 10.1016/j.ijom.2004.05.010.
10
Mandibular distraction for micrognathia and severe upper airway obstruction.下颌骨牵张成骨术治疗小颌畸形和严重上气道阻塞
Arch Otolaryngol Head Neck Surg. 2004 Mar;130(3):344-8. doi: 10.1001/archotol.130.3.344.

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.

DOI:10.1007/s12663-013-0493-8
PMID:24821997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4016411/
Abstract

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.

摘要

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。