277

Obstructive sleep apnea (OSA) is a common disorder caused by upper airway collapsibility during sleep. This article describes surgical procedures of OSA performed in the Seoul national university of dental hospital (SNUDH). A treatment OSA varies according to the severity of clinical symptom. In SNUDH, we performed surgical procedures used uvulopalatopharyngoplasty and tonsillectomy, genioglossus muscle advancement, maxillomandibular advancement, tongue base reduction, distraction osteogenesis. If surgeons identify and apply indications of OSA patients, surgical approach is the appropriate alternative for the failure of conservative treatments.

  • O'qishlar soni 264
  • Nashr sanasi 15-05-2019
  • Asosiy tilIngliz
  • Sahifalar9-12
English

Obstructive sleep apnea (OSA) is a common disorder caused by upper airway collapsibility during sleep. This article describes surgical procedures of OSA performed in the Seoul national university of dental hospital (SNUDH). A treatment OSA varies according to the severity of clinical symptom. In SNUDH, we performed surgical procedures used uvulopalatopharyngoplasty and tonsillectomy, genioglossus muscle advancement, maxillomandibular advancement, tongue base reduction, distraction osteogenesis. If surgeons identify and apply indications of OSA patients, surgical approach is the appropriate alternative for the failure of conservative treatments.

Русский

Обструктивное апноэ сна является распространенным заболеванием, вызванное полным (апноэ) и частичным (гипопноэ) спаданием верхних дыхательных путей во время сна. В этой статье описаны методы хирургического лечения обструктивного апноэ сна (ОАС) проводимые в Стоматологической клинике Сеульского национального университета (СКСНУ). Лечение ОАС варьируется в зависимости от тяжести клинических симптомов. В СКСНУ мы проводили хирургические процедуры, применяли увулопалатофарингопластику и тонзилэктомию, подтяжку подбородочно-язычной мышцы, выдвижение верхней и нижней челюсти, уменьшение задней части языка, дистракционный остеогенез. Если хирурги идентифицируют и учитывают индикации пациентов с ОАС, хирургический подход является подходящей альтернативой для отказа от консервативных методов лечения

Ўзбек

Обструктив уйқу апноэси - юқори нафас йулларининг уйқу пайтида коллапси натижасида пайдо бўладиган кенг тарқалган касаллик. Ушбу мақолада Сеул миллий университети стоматологик шифоxонасида обструктив уйқу апноэсида утказиладиган жаррохлик даволаш усуллари тасвирланган. Сеул миллий университети стоматологик шифоxонасида қуйидаги жаррохлик усуллари қўлланилди, увулопалатофаринго-пластика ва тонзилэктомия, чин-тилли мушакнинг кўтариш, юқори ва пастки жағни кенгайтриш, тилни орқа қисмини камайтириш, дистракцион остеогенез. Агар жаррохлар обструктив уйқу апноэсини аниқласа ва беморларнинг индикацияларини хисобга олсалар, жаррохлик ёндашув консерватив терапияни тўxтатиш учун муқобилдир.

№ Muallifning F.I.Sh. Lavozimi Tashkilot nomi
1 CHOI J..
№ Havola nomi
1 1. Pirklbauer, K., Russmueller, G., Stiebellehner, L., Nell, C., Sinko, K., Millesi, G., & Klug, C. (2011). Maxillomandibular advancement for treatment of obstructive sleep apnea syndrome: a systematic review. Journal of Oral and Maxillofacial Surgery, 69(6), e165-e176.
2 2. Ryan, C. M., & Bradley, T. D. (2005). Pathogenesis of obstructive sleep apnea. Journal of applied physiology, 99(6), 2440-2450
3 3. Force, A. O. S. A. T., & American Academy of Sleep Medicine. (2009). Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 5(3), 263.
4 4. Gottsauner-Wolf, S., Laimer, J., & Bruckmoser, E. (2017). Posterior airway changes following orthognathic surgery in obstructive sleep apnea. Journal of Oral and Maxillofacial Surgery
5 5. Fairbanks, D. N. (1990). Uvulopalatopharyngoplasty complications and avoidance strategies. Otolaryngology—Head and Neck Surgery, 102(3), 239-245.
6 6. Riley, R. W., Powell, N. B., & Guilleminault, C. (1993). Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngology—Head and Neck Surgery, 108(2), 117-125.
7 7. Rojas, R., Chateau, R., Gaete, C., & Muñoz, C. (2018). Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea. International journal of oral and maxillofacial surgery, 47(5), 638-641.
8 8. Hochban, W., Conradt, R., Brandenburg, U., Heitmann, J., & Peter, J. H. (1997). Surgical maxillofacial treatment of obstructive sleep apnea. Plastic and reconstructive surgery, 99(3), 619-26.
9 9. Robinson, S., Krishnan, S., Hodge, J. C., & Foreman, A. (2012). Conventional tongue base volumetric reduction for obstructive sleep apnea. Operative Techniques in Otolaryngology-Head and Neck Surgery, 23(1), 36-44.
10 10. Steinbacher, D. M., Kaban, L. B., & Troulis, M. J. (2005). Mandibular advancement by distraction osteogenesis for tracheostomy-dependent children with severe micrognathia. Journal of oral and maxillofacial surgery, 63(8), 1072-1079.
11 11. Bouchard, C., Troulis, M. J., & Kaban, L. B. (2009). Management of obstructive sleep apnea: role of distraction osteogenesis. Oral and Maxillofacial Surgery Clinics, 21(4), 459-475.
12 12. Aurora, R. N., Casey, K. R., Kristo, D., Auerbach, S., Bista, S. R., Chowdhuri, S., ... & Morgenthaler, T. I. (2010). Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep, 33(10), 1408-1413.
13 13. Brookes, C. C. D., & Boyd, S. B. (2017). Controversies in Obstructive Sleep Apnea Surgery. Oral and Maxillofacial Surgery Clinics, 29(4), 503-513.
14 14. Vega, J. R. G., de la Plata, M. M., Galindo, N., Navarro, M., Díez, D., & Láncara, F. (2014). Genioglossus muscle advancement: a modification of the conventional technique. Journal of CranioMaxillo-Facial Surgery, 42(3), 239-244.
15 15. Butterfield, K. J., Marks, P. L., McLean, L., & Newton, J. (2015). Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. Journal of Oral and Maxillofacial Surgery, 73(6), 1133-1142.
16 16. Zaghi, S., Holty, J. E. C., Certal, V., Abdullatif, J., Guilleminault, C., Powell, N. B., ... & Camacho, M. (2016). Maxillomandibular advancement for treatment of obstructive sleep apnea: a meta-analysis. JAMA Otolaryngology–Head & Neck Surgery, 142(1), 58-66.
17 17. Agbaje, J. O., Salem, A. S., Lambrichts, I., Jacobs, R., & Politis, C. (2015). Systematic review of the incidence of inferior alveolar nerve injury in bilateral sagittal split osteotomy and the assessment of neurosensory disturbances. International journal of oral and maxillofacial surgery, 44(4), 447-451.
18 18. de Ruiter, M. H. T., Apperloo, R. C., Milstein, D. M. J., & de Lange, J. (2017). Assessment of obstructive sleep apnoea treatment success or failure after maxillomandibular advancement. International journal of oral and maxillofacial surgery, 46(11), 1357-1362.
19 19. Codivilla, A. (1905). On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. JBJS, 2(4), 353-369.
20 20. Ilizarov, G. A. (1988). The principles of the Ilizarov method. Bulletin of the Hospital for Joint Diseases Orthopaedic Institute, 48(1), 1-11.
21 21. McCarthy, J. G., Schreiber, J., Karp, N., Thorne, C. H., & Grayson, B. H. (1992). Lengthening the human mandible by gradual distraction.
22 22. Kezirian, E. J., Goding, G. S., Malhotra, A., O’donoghue, F. J., Zammit, G., Wheatley, J. R., ... & Maddison, K. J. (2014). Hypoglossal nerve stimulation improves obstructive sleep apnea: 12‐ month outcomes. Journal of sleep research, 23(1), 77-83.
Kutilmoqda