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成人阻塞性睡眠呼吸暂停

Obstructive sleep apnea in adults.

作者信息

Faber Jorge, Faber Carolina, Faber Ana Paula

机构信息

Private practice (Brasília/DF, Brazil).

Universidade de Brasília, Programa de Pós-Graduação em Odontologia (Brasília/DF, Brazil).

出版信息

Dental Press J Orthod. 2019 Aug 1;24(3):99-109. doi: 10.1590/2177-6709.24.3.099-109.sar.

DOI:10.1590/2177-6709.24.3.099-109.sar
PMID:31390456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6677338/
Abstract

INTRODUCTION

Obstructive Sleep Apnea and Hypopnea Syndrome (OSAS) is a highly prevalent disease with serious consequences for the patients' lives. The treatment of the condition is mandatory for the improvement of the quality of life, as well as the life expectancy of the affected individuals. The most frequent treatments provided by dentistry are mandibular advancement devices (MAD) and orthognathic surgery with maxillomandibular advancement (MMA). This is possibly the only treatment option which offers high probability of cure.

OBJECTIVE

The present article provides a narrative review of OSAS from the perspective of 25 years of OSAS treatment clinical experience.

CONCLUSION

MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.

摘要

引言

阻塞性睡眠呼吸暂停低通气综合征（OSAS）是一种高度流行的疾病，对患者的生活有严重影响。对该病症进行治疗对于改善患者生活质量以及延长其预期寿命而言是必不可少的。牙科提供的最常见治疗方法是下颌前移装置（MAD）和上颌下颌前移正颌手术（MMA）。这可能是唯一具有高治愈概率的治疗选择。

目的

本文从25年OSAS治疗临床经验的角度对OSAS进行叙述性综述。

结论

MAD是原发性打鼾以及轻度或中度OSAS的可靠治疗选择。不依从持续气道正压通气（CPAP）治疗的重度呼吸暂停患者也可用MAD治疗。上颌下颌前移手术是治疗OSAS的一种安全且非常有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/25b306cb92e8/2176-9451-dpjo-24-03-99-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/7ca559ac99e0/2176-9451-dpjo-24-03-99-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/612253f14797/2176-9451-dpjo-24-03-99-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/f1d0244ead2a/2176-9451-dpjo-24-03-99-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/27bb4264fd77/2176-9451-dpjo-24-03-99-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/877da8b7681b/2176-9451-dpjo-24-03-99-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/6fae27ad8aa5/2176-9451-dpjo-24-03-99-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/7b2c839cc690/2176-9451-dpjo-24-03-99-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/25b306cb92e8/2176-9451-dpjo-24-03-99-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/7ca559ac99e0/2176-9451-dpjo-24-03-99-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/612253f14797/2176-9451-dpjo-24-03-99-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/f1d0244ead2a/2176-9451-dpjo-24-03-99-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/27bb4264fd77/2176-9451-dpjo-24-03-99-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/877da8b7681b/2176-9451-dpjo-24-03-99-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/6fae27ad8aa5/2176-9451-dpjo-24-03-99-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/7b2c839cc690/2176-9451-dpjo-24-03-99-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/930e/6677338/25b306cb92e8/2176-9451-dpjo-24-03-99-gf8.jpg

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