Marshall M W
Sleep Disorders Center, Long Beach Memorial Medical Center, USA.
J Calif Dent Assoc. 1998 Aug;26(8):579-84, 589-90.
The pathology associated with obstructive sleep apnea is cumulative and progressive. When patients fail to improve with continuous nasal airway pressure or other, less-invasive treatments, surgery should be considered. The initial approach to the surgical patient is identification of all areas of potential obstruction. There are often several sites of obstruction, which can occur anywhere in the upper respiratory tract. One or more procedures may be needed to address these areas. The objective of surgery is to relieve these obstructing sites without interfering with the normal functionality of the upper airway.
与阻塞性睡眠呼吸暂停相关的病理状况是累积性且渐进性的。当患者采用持续气道正压通气或其他侵入性较小的治疗方法效果不佳时，应考虑手术治疗。对于手术患者，初始方法是识别所有潜在阻塞区域。阻塞部位通常有多个，可发生在上呼吸道的任何部位。可能需要进行一个或多个手术来处理这些区域。手术的目的是解除这些阻塞部位，同时不干扰上呼吸道的正常功能。
