Redlund-Johnell I
Department of Diagnostic Radiology, University of Lund, General Hospital, Malmö, Sweden.
Scand J Rheumatol. 1988;17(4):273-9. doi: 10.3109/03009748809098796.
Among 400 patients with rheumatoid arthritis and measurable ramus height there were 76 patients with mutilating arthritis of the temporomandibular joints. In 30 of these 400 patients, episodes of upper airway obstruction had occurred, mostly when the patient lay supine. Laryngoscopy had been performed in only 7 patients, and in 3 of those a laryngeal arthritis was detected. Upper airway obstruction had occurred significantly more often in patients with arthritis of the temporomandibular joints than in those with normal joints. In 70% of the patients with a severe arthritic destruction of the temporomandibular joints, episodes of airway obstruction had occurred. Upper airway obstruction is assumed to occur in those patients due to a pharyngeal obstruction, as in other patients with micrognathia or sleep apnea syndrome.
在400例患有类风湿性关节炎且下颌支高度可测量的患者中，有76例患有颞下颌关节毁损性关节炎。在这400例患者中，有30例发生过上呼吸道梗阻，大多发生在患者仰卧时。仅7例患者接受了喉镜检查，其中3例检测到喉关节炎。颞下颌关节关节炎患者发生上呼吸道梗阻的频率明显高于关节正常的患者。在70%颞下颌关节严重关节炎性破坏的患者中，发生过气道梗阻。上呼吸道梗阻被认为是由于咽部梗阻而发生在这些患者中，就像其他小颌畸形或睡眠呼吸暂停综合征患者一样。
