在阻塞性睡眠呼吸暂停患者中,大巴前进的有效性与Dentofacial变形的2类与3类患者相比
Mohamed Abdelwahab1, Nazlie Taheri2, Lina Eltahir2
1Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Medical University of South Carolina, Charleston, South Carolina, SC, USA.
概括
上下 (MMA) 有效地治疗阻塞性睡眠呼吸暂停 (OSA) 在患有牙脸形的患者. 这种手术在2级和3级形症中显示出类似的客观和主观疗效.
科学领域:
- 睡眠医学 睡眠医学
- 整形手术 整形手术 整形手术
- 睡眠手术 睡眠手术
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍.
- 牙面部形 (DFDs) 可以加剧OSA.
- 上部推进 (MMA) 是治疗严重的OSA的一种手术选择.
研究的目的:
- 为了比较MMA对OSA患者的疗效,与2类与3类DFD相比.
- 在这些患者群体中评估MMA后的客观和主观结果.
- 为了确定DFD类之间的手术前疾病严重程度的任何差异.
主要方法:
- 对接受MMA的OSA患者的回顾性图表审查.
- 根据年龄,性别和BMI来匹配受试者.
- 多睡眠测试 (呼吸暂停-低睡眠暂停指数,氧气不和指数) 和患者报告的结果 (爱普沃思睡眠度量表) 的比较.
主要成果:
- 在DFD类2和3组中,MMA显著降低了AHI,并改善了ESS.
- 2类DFD患者在手术前呈现更严重的OSA (更高的AHI和ODI).
- 虽然ODI在2类患者中有所改善,但在3类患者中没有显著变化.
结论:
- 在第2类和第3类牙脸形症中,MMA是对OSA的一种同样有效的治疗方法.
- 在手术前的OSA严重程度在dentofacial类2患者中更高.
- 3类牙脸病患者可能会从额外的干预措施中受益,以优化手术后的鼻功能.
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