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通过牵张成骨术进行颏成形术和舌骨前移术治疗小儿阻塞性睡眠呼吸暂停

Genioplasty and Hyoid Advancement by Distraction Osteogenesis for the Correction of Obstructive Sleep Apnea in a Pediatric Patient.

作者信息

Omori Makoto, Iwatani Hiroatsu, Fukuoka Hiroki

机构信息

Plastic Surgery, Yodogawa Christian Hospital, Osaka, JPN.

Department of Plastic Surgery, Kakogawa Central City Hospital, Kakogawa, JPN.

出版信息

Cureus. 2024 Jan 17;16(1):e52458. doi: 10.7759/cureus.52458. eCollection 2024 Jan.

DOI:10.7759/cureus.52458
PMID:38371017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10873134/
Abstract

Advancement genioplasty is one variation of genioglossus advancement (GA) and GA is a surgical intervention that can be applied for obstructive sleep apnea (OSA) caused by hypopharyngeal collapse. The genioglossus muscle originates from the posterior surface of the midline mandible and inserts into the entire tongue mass and the body of the hyoid bone. Placing horizontal tension on the genioglossus muscle enlarges the posterior airway space. We use a modified GA that applies distraction osteogenesis to increase forward movement of the genioglossus muscle and also connects the bone transport segment to the hyoid bone with a thread to maximize the anterior movement of the hyoid bone. We used this technique on a young patient and obtained good results.

摘要

颏前移成形术是颏舌肌前移术(GA)的一种变体,GA是一种可用于治疗由下咽塌陷引起的阻塞性睡眠呼吸暂停(OSA)的外科手术干预。颏舌肌起源于下颌骨中线的后表面,插入整个舌体和舌骨体。对颏舌肌施加水平张力可扩大后气道空间。我们使用一种改良的GA,该方法应用牵张成骨术来增加颏舌肌的向前移动,并且还用线将骨转移段与舌骨连接起来,以使舌骨的向前移动最大化。我们将此技术应用于一名年轻患者并取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/7bea098e29d9/cureus-0016-00000052458-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/2724de63bf10/cureus-0016-00000052458-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/e05409ad1284/cureus-0016-00000052458-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/897868cb2bbf/cureus-0016-00000052458-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/4a20d957aebf/cureus-0016-00000052458-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/058c2a143620/cureus-0016-00000052458-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/41c9855c7b59/cureus-0016-00000052458-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/ad528088ec48/cureus-0016-00000052458-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/7bea098e29d9/cureus-0016-00000052458-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/2724de63bf10/cureus-0016-00000052458-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/e05409ad1284/cureus-0016-00000052458-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/897868cb2bbf/cureus-0016-00000052458-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/4a20d957aebf/cureus-0016-00000052458-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/058c2a143620/cureus-0016-00000052458-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/41c9855c7b59/cureus-0016-00000052458-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/ad528088ec48/cureus-0016-00000052458-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df86/10873134/7bea098e29d9/cureus-0016-00000052458-i08.jpg

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本文引用的文献

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Sleep Med Clin. 2019 Mar;14(1):73-81. doi: 10.1016/j.jsmc.2018.10.009.
3
Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea.颏舌肌前移联合同期滑动颏成形术治疗睡眠呼吸暂停
Int J Oral Maxillofac Surg. 2018 May;47(5):638-641. doi: 10.1016/j.ijom.2017.10.008. Epub 2017 Nov 2.
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Genioplasty distraction osteogenesis and hyoid advancement for correction of upper airway obstruction in patients with Treacher Collins and Nager syndromes.颏成形术牵引成骨与舌骨前移治疗Treacher Collins综合征和Nager综合征患者的上气道梗阻
Plast Reconstr Surg. 2006 Jun;117(7):2389-98. doi: 10.1097/01.prs.0000218796.87243.6d.
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Obstructive sleep apnea syndrome: a surgical protocol for dynamic upper airway reconstruction.阻塞性睡眠呼吸暂停综合征:动态上气道重建的手术方案
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