修改的上前进手术治疗阻塞性睡眠呼吸暂停:一个范围审查
1Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore.
International journal of oral and maxillofacial surgery
|October 5, 2023
概括
修改的上下 (MMMA) 为东亚和东南亚患者提供了有利的结果. 这种手术技术,包括前段骨切除术,有效地改善了呼吸道尺寸,并减少了睡眠呼吸暂停的严重程度.
科学领域:
- 口腔和牙面部外科手术
- 睡眠医学 睡眠医学
- 整形手术 整形手术 整形手术
背景情况:
- 双突出在东亚和东南亚人群中很常见.
- 经典的上上进 (MMA) 可能无法完全解决外围突起.
- 经过修改的上前进 (MMMA) 结合了前段骨切除术.
研究的目的:
- 为了识别修改的上下前进 (MMMA) 手术技术的变化.
- 评估与MMMA相关的治疗结果.
- 综合当前关于睡眠手术MMMA的证据.
主要方法:
- 覆盖范围审查方法.
- 在PubMed,Embase和Cochrane数据库中进行全面的文献搜索,截至2023年1月.
- 包括十项相关研究,详细介绍MMMA变异和结果.
主要成果:
- 确定了三种不同的MMMA变异.
- 在MMMA变异中报告了有利的治疗结果.
- 显著的下进步 (>10毫米) 和>50%的呼吸暂停-呼吸暂停指数 (AHI) 降低是常见的.
- 气道尺寸和爱普沃思睡眠度量表得分的改善也被注意到.
- 并发症是罕见的和轻微的,尽管额外的手术步骤.
结论:
- 在东亚和东南亚的患者中,MMMA是治疗睡眠呼吸暂停的可行的手术选择,患者有双突起.
- 为获得最佳结果,将MMMA定制为个别患者的个人资料至关重要.
- 对于睡眠外科医生来说,意识到MMMA变异对于这个人口群体来说很重要.
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