Coughlin Kevin, Davies George M, Gillespie Marion Boyd
Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, 910 Madison Avenue, Suite 410, Memphis, TN 38163, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, 855 Monroe Avenue, Suite 327, Memphis, TN 38163, USA.
Otolaryngol Clin North Am. 2020 Jun;53(3):329-338. doi: 10.1016/j.otc.2020.02.010. Epub 2020 Apr 23.
Obstructive sleep apnea (OSA) is a multisystem breathing disorder associated with increased morbidity and mortality. Clinical and operative assessment tools improve surgical approaches to treat airway obstruction. The primary sites of anatomic obstruction are at the levels of the nasal, palatal, and hypopharyngeal airway. The literature suggests a relationship between reduced neuromuscular tone and the age-related increase in OSA prevalence for normal-weight adults. Pharyngeal soft tissue collapse due to reduced airway pressure is defined as the critical closing pressure. Respiratory biochemistry homeostasis is an additional factor in maintaining airway patency.
阻塞性睡眠呼吸暂停(OSA)是一种多系统呼吸障碍,与发病率和死亡率增加相关。临床和手术评估工具改善了治疗气道阻塞的手术方法。解剖学阻塞的主要部位位于鼻腔、腭部和下咽气道水平。文献表明,对于体重正常的成年人,神经肌肉张力降低与OSA患病率随年龄增长而增加之间存在关联。由于气道压力降低导致的咽部软组织塌陷被定义为临界关闭压。呼吸生物化学稳态是维持气道通畅的另一个因素。