Robertson C J
N Z Dent J. 1998 Sep;94(417):123-4.
This report describes the fabrication of a prosthesis to prevent obstructive sleep apnoea in edentulous patients. The objective of treatment in a 62-year-old man was to establish a comfortable protrusive and vertical position of the mandible that minimised hypopharyngeal obstruction nocturnally. An appliance was designed incorporating two concepts in the elimination of obstructive sleep apnoea: mandibular advancement, which maintains hypopharyngeal width nocturnally; and advancement of the tongue with the aid of a device holding the tongue in a protrusive position by vacuum pressure. This combination appliance offers a treatment modality to a large group of otherwise forgotten patients.
本报告描述了一种用于预防无牙患者阻塞性睡眠呼吸暂停的假体的制作。一名62岁男性患者的治疗目标是建立一个舒适的下颌前伸和垂直位置，以尽量减少夜间下咽阻塞。设计了一种矫治器，该矫治器结合了消除阻塞性睡眠呼吸暂停的两个概念：下颌前伸，可在夜间保持下咽宽度；借助一种通过真空压力将舌头保持在前伸位置的装置来使舌头前伸。这种联合矫治器为一大群原本被忽视的患者提供了一种治疗方式。
