"在初级裂口口腔整形术中,口腔脂肪片可以改善高鼻度,但不会增加睡眠呼吸暂停的风险"
Nathan T Sheppard1,2, Melissa C Daniel1,3, Christian J Vercler1
1. Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Michigan, Ann Arbor, MI.
Plastic and reconstructive surgery
|February 25, 2026
概括
在初级裂修复中使用的口腔脂肪片 (BFPF) 不会增加阻塞性睡眠呼吸暂停 (OSA) 的风险. 这项研究发现,在接受BFPF和不接受BFPF的患者之间,OSA发生率没有显著差异.
科学领域:
- 面外科手术 面外科手术
- 儿科外科手术 儿科外科手术
- 睡眠的药物 睡眠的药物
背景情况:
- 初级口腔整形旨在改善语音和减少腹腔大缺陷.
- 口腔脂肪片 (BFPF) 对阻塞性睡眠呼吸暂停 (OSA) 风险的影响尚不清楚.
- BFPFs可能会积极影响 palatal 发育和velopharyngeal 功能.
研究的目的:
- 调查BFPF在初级宫腔整形中的使用是否会增加患OSA的风险.
- 为了评估BFPF和OSA发病率之间的关联,需要进行腺切除术,以及演讲手术后OSA的发展.
主要方法:
- 以后回顾的患者接受了裂口口腔整形手术与或没有BFPFs (1995-2016).
- 主要结局:OSA诊断需要持续的正气道压力 (CPAP) 治疗.
- 二次结局:腺切除率,T/A后症状缓解,以及晚发性OSA.
主要成果:
- 在不同组中,OSA的发病率相似:9.0%与BFPF (n=9) 相比,8.2%没有BFPF (n=9) (p=0.832).
- 在BFPF数量/位置和OSA风险之间没有发现任何关联.
- 腺切除率或结局没有显著差异;在两组中,晚发性OSA是罕见的.
结论:
- 将BFPF纳入初级裂口修复并没有统计增加OSA风险.
- 在初级口腔整形中,BFPFs对语音结果产生了积极的影响.
- 支持继续推BFPF用于初级裂修复.
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