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一名青少年后阻塞性睡眠呼吸暂停患者长期使用下颌前移装置后行上颌下颌前移手术。

Maxillomandibular advancement surgery after long-term use of a mandibular advancement device in a post-adolescent patient with obstructive sleep apnea.

作者信息

Lee Keun-Ha, Kim Kyung-A, Kwon Yong-Dae, Kim Sung-Wan, Kim Su-Jung

机构信息

Department of Orthodontics, Kyung Hee University Graduate School, Seoul, Korea.

Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea.

出版信息

Korean J Orthod. 2019 Jul;49(4):265-276. doi: 10.4041/kjod.2019.49.4.265. Epub 2019 Jul 22.

DOI:10.4041/kjod.2019.49.4.265
PMID:31367581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6658904/
Abstract

Patients with obstructive sleep apnea (OSA) whose phenotype belongs to a craniofacial vulnerability are referred from sleep doctors to orthodontists. In adults, for osseo-pharyngeal reconstruction (OPR) treatment, permanent maxillomandibular advancement (MMA) surgery and use of a temporary mandibular advancement device (MAD) are applied. This case report demonstrates successful treatment of OSA through application of phased MAD and MMA in a 16-year-old male with craniofacial deformity and residual growth potential. This patient showed skeletal and dentoalveolar changes after 7-year MAD use throughout post-adolescence, which affected the design and timing of subsequent MMA surgery, as well as post-surgical orthodontic strategy. This case report suggests that OPR treatment can be useful for treatment of OSA in post-adolescent patients, from an orthodontic point of view, in close collaboration with sleep doctors for interdisciplinary diagnosis and treatment.

摘要

阻塞性睡眠呼吸暂停（OSA）表型属于颅面易感性的患者会从睡眠医生处转诊至正畸医生处。在成人中，对于骨咽重建（OPR）治疗，会采用永久性上颌下颌前移（MMA）手术和使用临时性下颌前移装置（MAD）。本病例报告展示了通过对一名16岁、患有颅面畸形且有残余生长潜力的男性分阶段应用MAD和MMA成功治疗OSA的过程。该患者在青春期后使用MAD 7年，出现了骨骼和牙牙槽变化，这影响了后续MMA手术的设计和时机，以及术后正畸策略。本病例报告表明，从正畸角度来看，与睡眠医生密切合作进行多学科诊断和治疗，OPR治疗对青春期后OSA患者的治疗可能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3042/6658904/e186c6f15aa9/kjod-49-265-g011.jpg
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本文引用的文献

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J Oral Maxillofac Surg. 2017 Jul;75(7):1514-1518. doi: 10.1016/j.joms.2017.02.008. Epub 2017 Feb 20.
2
Stability of Modified Maxillomandibular Advancement Surgery in a Patient With Preadolescent Refractory Obstructive Sleep Apnea.改良式上颌下颌前徙手术在一名青春期前难治性阻塞性睡眠呼吸暂停患者中的稳定性
J Oral Maxillofac Surg. 2015 Sep;73(9):1827-41. doi: 10.1016/j.joms.2015.02.028. Epub 2015 Mar 18.
3
Oral Appliance Treatment Response and Polysomnographic Phenotypes of Obstructive Sleep Apnea.
阻塞性睡眠呼吸暂停的口腔矫治器治疗反应及多导睡眠图表型
J Clin Sleep Med. 2015 Aug 15;11(8):861-8. doi: 10.5664/jcsm.4934.
4
The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review.正畸治疗拔牙对上气道的影响：一项系统评价。
Sleep Breath. 2015 May;19(2):441-51. doi: 10.1007/s11325-015-1122-1. Epub 2015 Jan 28.
5
Modified maxillomandibular advancement for obstructive sleep apnoea: towards a better outcome for Asians.改良式上颌下颌前移术治疗阻塞性睡眠呼吸暂停：为亚洲人带来更好的治疗效果
Int J Oral Maxillofac Surg. 2015 Feb;44(2):189-94. doi: 10.1016/j.ijom.2014.09.013. Epub 2014 Oct 11.
6
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7
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Cranio. 2013 Oct;31(4):246-51. doi: 10.1179/crn.2013.31.4.001.
8
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Am J Respir Crit Care Med. 2013 Oct 15;188(8):996-1004. doi: 10.1164/rccm.201303-0448OC.
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J Oral Maxillofac Surg. 2011 Jun;69(6):e165-76. doi: 10.1016/j.joms.2011.01.038.