下颌前移装置对阻塞性睡眠呼吸暂停患者上气道的影响。
Effect of a Mandibular Advancement Device on the Upper Airway in a Patient With Obstructive Sleep Apnea.
作者信息
Flores-Orozco Elan Ignacio, Tiznado-Orozco Gaby Esthela, Díaz-Peña Rogelio, Orozco Esteban Isaí Flores, Galletti Cosimo, Gazia Francesco, Galletti Francesco
机构信息
Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Tepic, Mexico.
Department of Restorative Dentistry, Endodontic Division, São Paulo State University (UNESP), São José dos Campos, Brazil.
出版信息
J Craniofac Surg. 2020 Jan/Feb;31(1):e32-e35. doi: 10.1097/SCS.0000000000005838.
The authors present a case of a 33-year-old male patient with obstructive sleep apnea syndrome who was treated with a mandibular advancement device with excellent results. The aim of this study is to underline the importance of new instruments that allow evaluating the upper airway with greater precision, such as cone beam tomography. Given the diagnosis and treatment, the upper airway was assessed using cone beam tomography; an increase in UA volume of 22% was observed (initial volume 22,962 mm), along with a 28% increase in area (initial area 971 mm). The evaluation of the UA using teleradiography also showed an increase in the points evaluated, with the midpoint of the soft palate presenting the greatest increase.
作者报告了一例33岁患有阻塞性睡眠呼吸暂停综合征的男性患者，该患者接受了下颌前移装置治疗，效果极佳。本研究的目的是强调新型仪器的重要性，这些仪器能够更精确地评估上气道，比如锥形束断层扫描。基于诊断和治疗情况，使用锥形束断层扫描对上气道进行了评估；观察到上气道容积增加了22%（初始容积为22,962立方毫米），面积增加了28%（初始面积为971平方毫米）。使用远程放射学对上气道进行的评估也显示所评估的点有所增加，软腭中点的增加最为显著。
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