Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH.
Chest. 2015 Jun;147(6):1681-1690. doi: 10.1378/chest.14-2078.
OSA is a common, often chronic, condition requiring long-term therapy. Given the prevalence of OSA, as well as its significant health-related sequelae, a range of medical and surgical treatments have been developed and used with varying success depending on individual anatomy and patient compliance. Although CPAP is the primary treatment, many patients cannot tolerate this treatment and require alternative therapies. In this clinical scenario, surgery is often warranted and useful. Surgical management is aimed at addressing obstruction in the nasal, retropalatal, and retroglossal/hypopharyngeal regions, and many patients have multiple levels of obstruction. This review presents a comprehensive overview of research findings on a wide spectrum of surgical approaches currently used by sleep clinicians when other therapeutic modalities fail to achieve positive outcomes.
阻塞性睡眠呼吸暂停（OSA）是一种常见的、通常为慢性的疾病，需要长期治疗。鉴于 OSA 的普遍性，以及其对健康造成的严重后果，已经开发出了一系列的医疗和手术治疗方法，并根据个体解剖结构和患者依从性的不同，取得了不同程度的成功。尽管持续气道正压通气（CPAP）是主要的治疗方法，但许多患者无法耐受这种治疗，需要替代疗法。在这种临床情况下，手术通常是必要且有效的。手术治疗的目的是解决鼻腔、口咽和舌根后区的阻塞，许多患者存在多个水平的阻塞。当其他治疗方法未能取得积极效果时，本综述全面概述了睡眠临床医生目前使用的各种手术方法的研究结果。
