Barrera José E
Department of Surgery, Uniformed Services University, Bethesda, MD, USA; Department of Otolaryngology, University of Texas Health Sciences Center, San Antonio, TX, USA; Texas Facial Plastic Surgery and ENT, 14603 Huebner Road, Building 1, San Antonio, TX 78209, USA.
Otolaryngol Clin North Am. 2016 Dec;49(6):1433-1447. doi: 10.1016/j.otc.2016.07.006. Epub 2016 Oct 6.
Multilevel surgery has been established as the mainstay of treatment for the surgical management of obstructive sleep apnea (OSA). Combined with uvulopalatopharyngoplasty, tongue-base surgeries, including the genioglossus advancement (GA), sliding genioplasty, and hyoid myotomy and suspension, have been developed to target hypopharyngeal obstruction. Total airway surgery consisting of maxillomandibular advancement (MMA) with/without GA has shown significant success. Skeletal procedures for OSA with or without a palatal procedure is a proven technique for relieving airway obstruction during sleep. A case study demonstrating the utility of virtual surgical planning for MMA surgery is presented.
多级手术已成为阻塞性睡眠呼吸暂停（OSA）外科治疗的主要手段。结合悬雍垂腭咽成形术，已开发出舌根手术，包括颏舌肌前移术（GA）、滑动颏成形术以及舌骨肌切开术和悬吊术，以解决下咽梗阻问题。由上颌下颌前移术（MMA）联合或不联合GA组成的全气道手术已取得显著成功。采用或不采用腭部手术治疗OSA的骨骼手术是一种已被证实的缓解睡眠期间气道阻塞的技术。本文介绍了一个展示虚拟手术规划在MMA手术中的应用的病例研究。
