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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.

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。

相似文献

本文引用的文献

1
Craniofacial morphology in Obstructive Sleep Apnea patients.阻塞性睡眠呼吸暂停患者的颅面形态
J Clin Exp Dent. 2023 Dec 1;15(12):e999-e1006. doi: 10.4317/jced.61104. eCollection 2023 Dec.
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。
Saudi Dent J. 2022 Mar;34(3):194-201. doi: 10.1016/j.sdentj.2022.02.001. Epub 2022 Feb 11.

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