[正颌外科手术后上气道变化的头影测量研究。对阻塞性睡眠呼吸暂停综合征治疗的意义。附43例报告]
[Cephalometric study of changes in the upper airways after orthognathic surgery. Significance in the management of obstructive sleep apnea syndromes. Apropos of 43 cases].
作者信息
Paoli J R, Dodart L, Lauwers F, Boutault F, Fabie M
机构信息
Service de Chirurgie Maxillo-Faciale et de Stomatologie, Hôpital Rangueil, Toulouse.
出版信息
Rev Stomatol Chir Maxillofac. 1996;97(1):38-46.
The aim of this work was to study long-term airways space changes after maxillomandibular osteotomy in order to assess benefit of this surgery in case of obstructive sleep apnea syndrome. Preoperative and postoperative cephalometric airway spaces evaluation of 43 patients (who did not have obstructive sleep apnea) was done. Analysis revealed no charge in velopharyngeal space, lingual-pharyngeal augmentation in case of mandibular advancement. Hyoid bone position was not modified by osteotomy. Signification and interest of this finding for patients with obstructive sleep apnea are discussed through literature data.
这项工作的目的是研究上颌下颌截骨术后气道空间的长期变化，以评估该手术在阻塞性睡眠呼吸暂停综合征病例中的益处。对43例（无阻塞性睡眠呼吸暂停）患者进行了术前和术后的头影测量气道空间评估。分析显示腭咽间隙无变化，下颌前徙时舌咽间隙增大。截骨术未改变舌骨位置。通过文献数据讨论了这一发现对阻塞性睡眠呼吸暂停患者的意义和价值。
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