Poirrier R
Centre Hospitalier Universitaire du Sart Tilman, Liège, Belgique.
Acta Otorhinolaryngol Belg. 1993;47(2):277-89.
The detection, correction or withdrawal of any cause or associated factor including obesity, drugs or alcohol is essential in the treatment of obstructive sleep apnea syndrome. Treatment is mainly mechanical or surgical, but not medical. Nasal continuous positive airway pressure (NCPAP) has now largely replaced tracheostomy and successful long-term domestic use of this method has been reported on many occasions. Oropharyngeal surgery can solve a large part of social snoring problems. However criteria for procedure selection and evaluation of results are still needed to clarify the indication of this operation in patients with full clinical expression of the syndrome. In this regard, a comprehensive preoperative evaluation and a logical approach to the reconstruction of the upper-airway has recently led to the association of palatopharyngoplasty and maxillo-mandibular surgery, with an excellent long-term success rate.
在阻塞性睡眠呼吸暂停综合征的治疗中，发现、纠正或消除任何病因或相关因素（包括肥胖、药物或酒精）至关重要。治疗主要是机械性或手术性的，而非药物性的。鼻持续气道正压通气（NCPAP）现已在很大程度上取代了气管切开术，并且多次有关于该方法在家庭中长期成功使用的报道。口咽手术可以解决大部分社交性打鼾问题。然而，仍需要程序选择标准和结果评估来明确该手术在具有该综合征完整临床表现患者中的适应证。在这方面，最近通过全面的术前评估和对上气道重建的合理方法，腭咽成形术与上颌-下颌手术联合应用，取得了出色的长期成功率。
