Reinert S, Jung D, Machtens E
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Ruhr-Universität, Bochum, Deutschland.
Wien Med Wochenschr. 1996;146(13-14):368-72.
The clinical picture of the obstructive sleep apnea syndrome is caused by a multifactorial etiology. Therefore a lot of different conservative as well as surgical therapeutic approaches are discussed. In approximately 40% of the patients an obstruction of the pharyngeal airway is combined with an abnormal sagittal morphology of the skull. In these cases a simultaneous maxillomandibular advancement by at least 10 mm seems to be a causal therapy, leading to an enlargement of the pharyngeal airways. The current therapeutic results are roughly stable up to a period of approximately 3 years. Requirement of this therapy is the exclusion and/or the prior therapy of an extreme obesity, which can favour the manifestation of an obstructive sleep apnea syndrome.
阻塞性睡眠呼吸暂停综合征的临床表现是由多因素病因引起的。因此，人们讨论了许多不同的保守治疗和手术治疗方法。大约40%的患者咽部气道阻塞与颅骨矢状面形态异常有关。在这些情况下，同时进行至少10毫米的上颌下颌前移似乎是一种病因治疗方法，可导致咽部气道扩大。目前的治疗效果在大约3年的时间内大致稳定。这种治疗的前提是排除和/或预先治疗极度肥胖，因为极度肥胖可能会促使阻塞性睡眠呼吸暂停综合征的出现。
