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3
Comparison of nasal cavity changes between the expander with differential opening and the fan-type expander: a secondary data analysis from an RCT.扩张器(带差分式开口)与扇形扩张器的鼻腔变化比较:一项 RCT 的二次数据分析。
Clin Oral Investig. 2023 Oct;27(10):5999-6006. doi: 10.1007/s00784-023-05213-w. Epub 2023 Aug 24.
4
Preliminary short-term outcomes of rapid maxillary expansion on periodic limb movements during sleep in pediatric sleep-disordered breathing.儿童睡眠呼吸障碍患者中,快速上颌扩弓对睡眠期间周期性肢体运动的短期初步疗效。
Int J Pediatr Otorhinolaryngol. 2023 May;168:111548. doi: 10.1016/j.ijporl.2023.111548. Epub 2023 Apr 7.
5
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Clin Oral Investig. 2023 May;27(5):2013-2025. doi: 10.1007/s00784-023-04945-z. Epub 2023 Mar 17.
6
Anatomical determinants of upper airway collapsibility in obstructive sleep apnea: A systematic review and meta-analysis.阻塞性睡眠呼吸暂停患者上气道塌陷的解剖学决定因素:系统评价和荟萃分析。
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The effects of rapid maxillary expansion on persistent pediatric snoring post-tonsillectomy.快速上颌扩弓对小儿扁桃体切除术后持续性打鼾的影响。
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10
The role of orthodontics in management of obstructive sleep apnea.正畸学在阻塞性睡眠呼吸暂停管理中的作用。
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正畸医生在阻塞性睡眠呼吸暂停的多学科管理中的作用。

The role of orthodontists in the multidisciplinary management of obstructive sleep apnea.

机构信息

University of Brasília, Brasília, Brazil.

Hong Kong Children's Hospital, Hong Kong, Hong Kong.

出版信息

Prog Orthod. 2024 Nov 4;25(1):40. doi: 10.1186/s40510-024-00541-3.

DOI:10.1186/s40510-024-00541-3
PMID:39489836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532327/
Abstract

BACKGROUND

Obstructive sleep apnea (OSA) is a complex disorder characterized by interruptions in breathing during sleep, leading to a range of adverse outcomes from reduced quality of life to serious health risks, including cardiovascular diseases and increased mortality.

MAIN BODY

This manuscript reviews the orthodontists' essential role in the multidisciplinary healthcare team tasked with managing OSA. It particularly highlights critical orthodontic interventions, such as surgical-orthodontic maxillomandibular advancement (MMA), mandibular advancement appliances (MAAs), and rapid maxillary expansion (RME). These interventions are pivotal in modifying craniofacial structures to enhance airway patency. The importance of conducting a thorough airway analysis is underscored, assessing the complete anatomical and functional factors contributing to airway obstruction.

CONCLUSION

The paper calls for increased collaborative research efforts to develop standardized, evidence-based orthodontic procedures for effectively managing OSA, aiming to improve patient outcomes through specialized, tailored interventions.

摘要

背景

阻塞性睡眠呼吸暂停(OSA)是一种复杂的疾病,其特征是睡眠期间呼吸中断,导致生活质量下降到严重的健康风险,包括心血管疾病和死亡率增加等一系列不良后果。

主要内容

本文回顾了正畸医生在多学科医疗团队中管理 OSA 的重要作用。它特别强调了关键的正畸干预措施,如手术-正畸上颌骨和下颌骨前伸术(MMA)、下颌前伸矫治器(MAAs)和快速上颌扩张术(RME)。这些干预措施对于改变颅面结构以增强气道通畅性至关重要。强调了进行彻底气道分析的重要性,评估导致气道阻塞的完整解剖和功能因素。

结论

本文呼吁加大合作研究力度,制定标准化、基于证据的正畸治疗方法来有效治疗 OSA,通过专门的、量身定制的干预措施来改善患者的治疗效果。