使用手术第一方法的下逆转手术对上呼吸道变化和睡眠质量的影响
Wichuda Kongsong1, Sunisa Rochanavibhata2, Chidsanu Changsiripun3
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, 34 Henri Dunant Road, Pathum Wan, Bangkok, 10330, Thailand. wichuda.k@chula.ac.th.
Head & face medicine
|May 10, 2025
概括
使用手术第一 (SFA) 或传统 (COA) 方法的部逆转手术产生了类似的上呼吸道变化和睡眠质量结果. 手术方法对这些因素的临床决定没有显著的影响.
科学领域:
- 整形手术 整形手术 整形手术
- 睡眠医学 睡眠医学
- 气道分析 气道分析
背景情况:
- 部逆转手术可以纠正骨的差异,但可能会影响上呼吸道和睡眠质量.
- 对于这种手术,有两种手术方法,即手术第一方法 (SFA) 和常规骨架手术方法 (COA).
研究的目的:
- 为了比较SFA与COA在隔离下部逆转手术后对上呼吸道尺寸和睡眠质量的影响.
主要方法:
- 一项前性比较研究,对20名接受隔离下部逆转手术的患者进行了比较 (每组10名).
- 通过圆束计算机断层扫描和睡眠质量评估 (问卷,睡眠研究) 在基线,1个月和术后6个月进行3D上呼吸道分析.
主要成果:
- 在SFA和COA组中,手术后的气道体积和最小横截面积都减少了,没有显著的群体间差异.
- 在术后6个月观察到上呼吸道和呼吸道总长度的显著变化.
- 主观和客观睡眠参数在各组之间是可比的,客观睡眠质量最初恶化,随后改善.
结论:
- 隔离下病变手术,无论是SFA还是COA方法,都会导致可比的上呼吸道维度变化和睡眠质量.
- 在SFA和COA之间做出选择不会显著影响有关上呼吸道和睡眠质量结果的外科决策.
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