阻塞性睡眠呼吸暂停在患有牙骨形异常的患者中的发生率
Giuseppe D'Amato1, Mattia Todaro2, Gianmarco Saponaro2
1Faculty of Medicine and Surgery, Unicamillus International Medical University, 00131 Rome, Italy.
Dentistry journal
|July 26, 2024
概括
未被诊断的阻塞性睡眠呼吸暂停 (OSA) 常见于经历正统手术的牙骨形缺陷患者. 手术后,OSA发生率显著下降,突出显示了在治疗规划中多睡眠学的重要性.
科学领域:
- 口腔和牙面部外科手术
- 睡眠医学 睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 牙骨发育不良会影响呼吸道功能.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,通常与面异常有关.
- 整形手术的目的是纠正骨的差异,并改善功能.
研究的目的:
- 为了确定未诊断的阻塞性睡眠呼吸暂停 (OSA) 在患有牙骨形异常的患者中的发生率.
- 为了确定与较高的OSA风险相关的特定形模式.
- 为了评估OSA严重程度的变化 (AHI) 后 bimaxillary orthognathic手术.
主要方法:
- 71名II类和III类发育不良患者 (35名男性,36名女性) 的回顾性队列研究.
- 在手术前和手术后至少6个月进行多睡眠学,以评估呼吸暂停-呼吸暂停指数 (AHI).
- 对人口统计学和解剖学变量的分析,包括上腺缺血和形模式.
主要成果:
- 33%的患者在手术前有AHI>5 (OSA),11%的患者在手术前有边缘性 (4 < AHI < 5).
- 后退的部和II类形与更高的OSA风险有关.
- 手术后,只有8%的患者有AHI>5,与普通人群相比显著减少.
结论:
- 经历正骨科手术的患者的OSA患病率明显高于一般人群.
- 手术前的多睡眠记录对于整形手术中全面的治疗计划至关重要.
- 解决呼吸功能与美学相结合,对于最佳的患者结果至关重要.
相关概念视频
01:15Teeth
369
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
369
01:21Tooth Anatomy
410
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
410