Fleissig Y, Laviv A, Peacock Z S, Casap N
Refuat Hapeh Vehashinayim (1993). 2015 Jul;32(3):6-15, 66.
Obstructive sleep apnea may be a life threatening situation if does not get proper attention. Risk factors are easy to find, therefore general dental surgeons should be aware of them and refer if needed. This literature review clearly explains how obstructive sleep apnea is diagnosed and treated. We present a case of a patient with severe obstructive sleep apnea (apnea hypopnea index of 87.5/hour), who underwent bi jaw surgery with 2 piece Le Fort 1 maxiilary advancement, mandibular bilateral sagittal split osteotomy (BSSO) advancement, and genial tubercle advancement. Post-surgery sleep study demonstrated near resolution of previously severe obstructive sleep apnea with overall apnea hypopnea index (AHI) of 3.7/hour consistent with a successful surgical outcome.
如果得不到适当关注，阻塞性睡眠呼吸暂停可能会危及生命。危险因素很容易发现，因此普通牙科外科医生应该了解这些因素，并在需要时进行转诊。这篇文献综述清楚地解释了阻塞性睡眠呼吸暂停是如何被诊断和治疗的。我们展示了一个患有严重阻塞性睡眠呼吸暂停（呼吸暂停低通气指数为87.5/小时）的患者案例，该患者接受了双颌手术，包括两部分的Le Fort 1上颌骨前移、下颌双侧矢状劈开截骨术（BSSO）前移以及颏结节前移。术后睡眠研究表明，先前严重的阻塞性睡眠呼吸暂停几乎得到缓解，总体呼吸暂停低通气指数（AHI）为3.7/小时，这与手术成功的结果一致。
