正颌手术治疗阻塞性睡眠呼吸暂停。
Orthognathic Surgery for Obstructive Sleep Apnea.
机构信息
Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Level 10, Dean's Office, National University of Oral Health Singapore, 9 Lower Kent Ridge Road, 119085, Singapore; Oral and Maxillofacial Surgery, National University Centre for Oral Health Singapore.
Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Level 10, Dean's Office, National University of Oral Health Singapore, 9 Lower Kent Ridge Road, 119085, Singapore; Oral and Maxillofacial Surgery, National University Centre for Oral Health Singapore.
出版信息
Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):49-59. doi: 10.1016/j.coms.2022.06.001. Epub 2022 Nov 3.
Obstructive sleep apnea (OSA) involves obstruction or reduction of an individual's airway during sleep and is associated with several comorbidities. Patient evaluation includes detailed history, clinical and radiographic examination, endoscopy, and polysomnography. Management may be nonsurgical or surgical, and Phase II of the Stanford Protocol of surgical management involves maxillomandibular advancement (MMA). Surgical considerations (eg, degree of movement, timing of surgery) and potential complications specific to MMA are discussed in this review. With adequate planning and communication with the patient, MMA is effective in treating OSA, as measured with objective and subjective measures.
阻塞性睡眠呼吸暂停（OSA）是指个体在睡眠过程中气道受阻或变窄，并与多种合并症相关。患者评估包括详细的病史、临床和影像学检查、内窥镜检查和多导睡眠图检查。治疗方法包括非手术治疗和手术治疗，斯坦福协议手术管理的第二阶段涉及上颌骨下颌骨前突术（MMA）。本综述讨论了 MMA 的手术考虑因素（例如，运动程度、手术时机）和与 MMA 相关的特定潜在并发症。通过充分的计划和与患者的沟通，MMA 可通过客观和主观测量有效地治疗 OSA。
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