在患有阻塞性睡眠呼吸暂停综合征的患者中进行虚拟指导和定制的整形手术:准确性和临床结果
Marta Benito Anguita1, Saad Khayat1, Soledad López Martín2
1Oral and Maxillofacial Surgery Department, University Hospital Gregorio Maranón, C/Dr. Esquerdo 46, 28007 Madrid, Spain.
Journal of clinical medicine
|June 13, 2025
概括
上下 (MMA) 手术有效治疗严重阻塞性睡眠呼吸暂停 (OSA),使用虚拟手术规划和定制指南. 这种以数字为指导的方法显著减少了AHI,并改善了气道尺寸,提供了精确和安全的治疗选择.
科学领域:
- 口腔和牙面部外科手术
- 睡眠医学 睡眠医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 严重的阻塞性睡眠呼吸暂停 (OSA) 对健康构成重大风险.
- 传统的治疗方法可能不对所有患者有效.
- 上部推进 (MMA) 是治疗严重的OSA的一种手术选择.
研究的目的:
- 评估MMA手术对严重的OSA的临床和形态测量结果.
- 评估虚拟外科规划 (VSP),针对患者的切割指南和定制板的有效性.
- 为了确定外科手术的准确性和对生活质量的影响.
主要方法:
- 一个初步的案例系列,包括6名患有严重OSA的患者接受MMA治疗.
- 使用了3D VSP,CAD/CAM手术指南,以及患者特定的骨质合成.
- 评估的呼吸暂停-呼吸暂停指数 (AHI),爱普沃思睡眠度量表 (ESS),呼吸道形态测量和手术准确性.
主要成果:
- 平均AHI (48.8至12.4) 显著降低,ESS (14.5至7.8) 改善.
- 平均气道面积显著增加 (51.8到91.8毫米2).
- 高的前后后骨运动精度 (82.6%的部,85.8%的部) 与最小的错误.
结论:
- 使用VSP和定制仪器的MMA手术对严重的OSA非常有效和精确.
- 这种以数字为指导的方法显著减少了AHI,扩大了呼吸道,并改善了白天的功能.
- 高精度支持技术辅助的整形外科手术对OSA治疗的可靠性.
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