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对于阻塞性睡眠呼吸暂停患者的上部推进手术:从转诊到康复的当前工作流程

Ka Hey Christy Chan¹, Sameer Patel², Giovanna Grados³

¹Dental Core Trainee in Oral and Maxillofacial Surgery, Dental Institute, King´s College Hospital, Denmark Hill, London, SE5 9RS, UK.

British dental journal

|March 14, 2026

概括

一般牙医可以在例行检查期间识别阻塞性睡眠呼吸暂停 (OSA). 本指南有助于牙医了解OSA转诊标准,治疗选择,如上前进手术 (MMA),以及患者的治疗途径.

科学领域:

牙科医学牙科医学
睡眠医学睡眠医学
手术瘤学手术瘤学

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,与严重的健康风险有关,通常仍未被诊断出来.
一般牙医 (GDPs) 在例行患者评估期间能够很好地识别潜在的OSA病例.
早期识别和GDPs的转诊对于及时诊断和管理OSA至关重要.

研究的目的:

为GDPs提供有关OSA临床特征,病因和流行情况的全面知识.
概述明确的转诊标准和关键信息,用于转诊疑似OSA患者.
详细介绍推后的临床途径,包括对上前进手术 (MMA) 和替代治疗方法的评估.

主要方法:

对OSA特征,患病率和诊断途径的文献综述.
对OSA转诊的英国临床途径的探索.
分析上下进位手术 (MMA) 指示,益处,风险以及与其他治疗方法的比较.

主要成果:

通过患者病史和临床检查,GDPs可以在早期发现OSA中发挥至关重要的作用.
确定了具体的转诊标准和有效转诊患者所需的信息.
对MMA的评估过程,包括其益处和风险,与替代管理策略一起详细说明.

结论:

赋予GDPs有关OSA转诊和治疗选择的知识,使他们能够自信地管理患者.
更好的理解有助于更好地向患者传达保守和手术治疗的可能性.
提供了英国推后流程的清晰概述,以管理患者的期望.

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