Jung Junho, Moon Seung-Hwan, Kwon Yong-Dae
1Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Dongdaemun-gu, Seoul, 02447 South Korea.
2Department of Oral & Maxillofacial Surgery, Graduate School, Kyung Hee University, Seoul, South Korea.
Maxillofac Plast Reconstr Surg. 2020 Jan 31;42(1):1. doi: 10.1186/s40902-020-0245-x. eCollection 2020 Dec.
Considering psychosocial needs of patients, it is not surprising that surgery-first approach (SFA) is becoming more popular than ever. Although the concept of SFA was introduced a few decades ago, the limitation of analysis method based on two-dimensional images makes surgeons reluctant to choose SFA. Recently, the advancement of three-dimensional technology allows us to perform SFA even without minimal pre-surgical orthodontic treatment, and the prediction of surgical outcome became more accurate, especially in obstructive sleep apnea (OSA) patients to whom the advantages of SFA should be more significant. Here, we describe the current trend of SFA and its implication in OSA patients.
考虑到患者的心理社会需求，手术优先方法（SFA）比以往任何时候都更受欢迎也就不足为奇了。尽管SFA的概念在几十年前就已提出，但基于二维图像的分析方法的局限性使得外科医生不愿选择SFA。最近，三维技术的进步使我们即使在没有最小限度的术前正畸治疗的情况下也能进行SFA，并且手术结果的预测变得更加准确，尤其是在阻塞性睡眠呼吸暂停（OSA）患者中，SFA的优势应该更为显著。在此，我们描述了SFA的当前趋势及其在OSA患者中的意义。
