对阻塞性睡眠呼吸暂停综合征的上部进展:呼吸功能和逆向面部升降的长期结果
Francesco Laganà1, Francesco Arcuri, Alessia Spinzia
1Unit of Maxillofacial Surgery, IRCCS San Martino, Genoa, Italy.
The Journal of craniofacial surgery
|June 16, 2023
概括
尾前进 (MMA) 有效地治疗成人阻塞性睡眠呼吸暂停综合征 (OSAS),并提供面部复发. 这种双手术改善了呼吸功能,并提供了"反向面部起重"效果.
科学领域:
- 口腔和牙面部外科手术
- 睡眠医学 睡眠医学
- 整形外科 整形外科 整形外科
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 显著影响成人健康.
- 上部推进 (MMA) 被公认为OSAS的领先手术干预.
- 老化的面部表现出中和下三分之一的变化,可能由骨的进步来解决.
研究的目的:
- 评估MMA在改善成年OSAS患者呼吸功能方面的疗效.
- 评估MMA后的面部美学结果,包括复发,以评估MMA后的面部美学结果.
- 审查MMA在OSAS管理和面部美学方面的外科结果.
主要方法:
- 在2010-2015年间接受MMA的OSAS患者的回顾性图表审查.
- 包括来自两个三级医院的患者.
- 术后评估包括呼吸功能和审美评估的多睡眠学.
主要成果:
- 这项研究包括25名患者 (20名男性,5名女性).
- 整体MMA成功率为79% (AHI <20) 和手术治愈率为47% (AHI <5).
- 显著的大多数 (92%) 在MMA后经历了明显的面部复发.
结论:
- 对于成年OSAS患者来说,MMA是一种高度有效的外科治疗方法,对保守的治疗没有反应.
- 该程序提供了一个程序.
- 反向面部提升是一种反向面部提升.
- 效果,增强面部美学. 效果,增强面部美学.
- MMA解决了与OSAS和面部衰老相关的功能和美学问题.
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