L'Estrange P R, Battagel J M, Nolan P J, Harkness B, Jorgensen G I
Faculty of Dentistry, University of Queensland, Brisbane, Australia.
J Oral Rehabil. 1996 Jan;23(1):72-7. doi: 10.1111/j.1365-2842.1996.tb00815.x.
Obstructive sleep apnoea may present with a wide range of symptoms resulting in a variety of referral pathways. A multidisciplinary approach to examination and diagnosis helps to determine the most appropriate treatment plan for each individual. The subject is seen by each member of the team, appropriate investigations undertaken and a further meeting arranged at which all opinions are discussed. A reasoned treatment regime is produced, taking into consideration the patient's wishes and overall medical condition. This paper describes the team approach currently employed in the Department of Thoracic Medicine at The Prince Charles Hospital, Brisbane, Australia. The thoracic physician and ENT surgeon work in close collaboration with their dental colleagues: an orthodontist, prosthodontist and a maxillofacial surgeon. An outline of the examination and investigations made by each is described and the multidisciplinary approach is illustrated by a description of the management of five subjects with suspected obstructive sleep apnoea.
阻塞性睡眠呼吸暂停可能会出现多种症状，从而导致多种转诊途径。采用多学科方法进行检查和诊断有助于为每个个体确定最合适的治疗方案。团队的每个成员都会对患者进行检查，进行适当的调查，并安排进一步的会议来讨论所有意见。在考虑患者的意愿和整体医疗状况后，制定出合理的治疗方案。本文描述了澳大利亚布里斯班查尔斯王子医院胸科目前采用的团队治疗方法。胸科医生和耳鼻喉科外科医生与其牙科同事密切合作，这些牙科同事包括正畸医生、修复医生和颌面外科医生。文中描述了每个科室进行的检查和调查，并通过对五名疑似阻塞性睡眠呼吸暂停患者的治疗过程描述来说明多学科治疗方法。
