Wiltfang J, Merten H A, Luhr H G
Department of Oral and Maxillofacial Surgery, University of Göttingen, Germany.
Br J Oral Maxillofac Surg. 1996 Feb;34(1):82-6. doi: 10.1016/s0266-4356(96)90142-4.
We have developed a new operation for the surgical treatment of obstructive sleep apnoea, which we called functional palatorrhaphy. This preserves the posterior border of the soft palate and allows a controlled repair of the aponeurosis of the soft palate muscle. We combine the palatorrhaphy with a standard or a modified chin osteotomy with advancement of the base of tongue. In our first five treated and re-evaluated patients with severe obstructive sleep apnoea syndrome, who did not respond to conservative treatment, the operation was successful. All patients but one were considerably improved or cured of their symptoms.
我们已经研发出一种用于阻塞性睡眠呼吸暂停外科治疗的新手术，我们称之为功能性腭修补术。该手术保留软腭后缘，并允许对软腭肌肉腱膜进行可控修复。我们将腭修补术与标准或改良的颏截骨术及舌基部前移术相结合。在我们首批接受治疗并重新评估的五例严重阻塞性睡眠呼吸暂停综合征患者中，这些患者对保守治疗无反应，手术取得了成功。除一名患者外，所有患者的症状均有显著改善或治愈。
