Tanna Neil, Smith Benjamin D, Zapanta Philip E, Karanetz Irena, Andrews Brian T, Urata Mark M, Bradley James P
New York, N.Y.; Washington, D.C.; Kansas City, Kan.; Los Angeles, Calif.; and Philadelphia, Pa.
From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine, Hofstra North Shore-Long Island Jewish Health System School of Medicine; the Division of Otolaryngology-Head and Neck Surgery, The George Washington University; the Division of Plastic and Reconstructive Surgery, University of Kansas Medical Center; the Division of Plastic and Reconstructive Surgery, University of Southern California; and the Division of Plastic and Reconstructive Surgery, Temple University.
Plast Reconstr Surg. 2016 Apr;137(4):1263-1272. doi: 10.1097/PRS.0000000000002017.
Surgical management of snoring and obstructive sleep apnea is indicated when a surgically correctable abnormality is believed to be the source of the problem. Many patients opt for surgical treatment after noninvasive forms of treatment have been proven ineffective or difficult to tolerate. With increasing frequency, functional rhinoplasty, septoplasty, turbinoplasty, palatal surgery, and orthognathic surgery are being used in the management of snoring and obstructive sleep apnea. Plastic surgeons' experience with aesthetic nasal surgery, nasal reconstruction, palatal surgery, and craniofacial surgery puts them at the forefront of performing surgery for snoring and sleep apnea. The role of functional septorhinoplasty, turbinoplasty, palatal surgery, genioglossal advancement, and orthognathic surgery is indispensable in the surgical management of obstructive sleep apnea. Multidisciplinary management of these patients is critical, and plastic surgeons are encouraged to work collaboratively with sleep medicine clinicians and centers.
当认为可通过手术矫正的异常是问题根源时，就需要对打鼾和阻塞性睡眠呼吸暂停进行手术治疗。许多患者在无创治疗方式被证明无效或难以耐受后选择手术治疗。功能性鼻整形术、鼻中隔成形术、鼻甲成形术、腭部手术和正颌手术越来越多地被用于治疗打鼾和阻塞性睡眠呼吸暂停。整形外科医生在美容鼻手术、鼻重建、腭部手术和颅面手术方面的经验使他们处于治疗打鼾和睡眠呼吸暂停手术的前沿。功能性鼻中隔鼻整形术、鼻甲成形术、腭部手术、颏舌肌前移术和正颌手术在阻塞性睡眠呼吸暂停的手术治疗中发挥着不可或缺的作用。对这些患者进行多学科管理至关重要，鼓励整形外科医生与睡眠医学临床医生和中心合作。
