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经口机器人睡眠手术:阻塞性睡眠呼吸暂停低通气综合征

Transoral robotic sleep surgery: the obstructive sleep apnea-hypopnea syndrome.

作者信息

Crawford Julia A, Montevecchi Fliippo, Vicini Claudio, Magnuson J Scott

机构信息

Head and Neck Surgery Center of Florida, Celebration Health, Florida Hospital, Suite 305, 410 Celebration Place, Celebration, FL 34747, USA.

Special Surgery Department, Otolaryngology-Head and Neck & Oral Surgery Unit, University of Pavia in Forlì, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, FL 47100, Italy.

出版信息

Otolaryngol Clin North Am. 2014 Jun;47(3):397-406. doi: 10.1016/j.otc.2014.03.004. Epub 2014 Apr 18.

Abstract

Nocturnal upper airway collapse is often multi-level in nature but typically will involve some degree of obstruction at the level of the tongue-base. Several surgical procedures have been developed in recent years to address this area in patients resistant to continuous positive airway pressure. This article outlines a novel way to treat obstructive sleep apnea lingual obstruction using the da Vinci robotic surgical system. This technique offers significant potential advantages over other established approaches and it should be included in the surgical armamentarium of sleep surgeons.

摘要

夜间上气道塌陷通常具有多平面性质,但通常会在舌根水平出现一定程度的阻塞。近年来已开发出几种外科手术方法来治疗对持续气道正压通气治疗无效的患者的这一部位。本文概述了一种使用达芬奇机器人手术系统治疗阻塞性睡眠呼吸暂停舌阻塞的新方法。与其他既定方法相比,该技术具有显著的潜在优势,应纳入睡眠外科医生的手术手段中。

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