IMPROVEMENT IN UPPER AIRWAY STRUCTURE AND FUNCTION IN A SNORING PATIENT FOLLOWING ORTHOGNATHIC SURGERY

被引：3

作者：

HOFFSTEIN, V ^{[1
]}

WRIGHT, S ^{[1
]}

机构：

[1] TORONTO GEN HOSP,DZV RESP,TORONTO M5G 1L7,ONTARIO,CANADA

来源：

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 1991年 / 49卷 / 06期

关键词：

D O I：

10.1016/0278-2391(91)90351-L

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Orthognathic surgery is one of the therapeutic procedures recently described as being beneficial in treatment of obstructive sleep apnea (OSA).1,2 The majority of patients undergoing this procedure show a significant improvement in OSA, but the mechanism of this improvement remains unclear. This report documents increased patency of the pharyngeal airway and reduction in pharyngeal distensibility in a snoring patient after orthognathic surgery. Based on these results, we suggest that one possible mechanism of improvement in snoring and, perhaps, sleep apnea following this procedure is its beneficial effect on pharyngeal mechanics. © 1991.

引用

页码：656 / 658

页数：3

共 10 条

[1] PHARYNGEAL SIZE IN SNORERS, NONSNORERS, AND PATIENTS WITH OBSTRUCTIVE SLEEP-APNEA [J].

BRADLEY, TD ;

BROWN, IG ;

GROSSMAN, RF ;

ZAMEL, N ;

MARTINEZ, D ;

PHILLIPSON, EA ;

HOFFSTEIN, V .

NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (21) :1327-1331

[2]

BROWN IG, 1985, AM REV RESPIR DIS, V132, P211

[3] UVULOPALATOPHARYNGOPLASTY - ONE-YEAR FOLLOW-UP [J].

CONWAY, W ;

FUJITA, S ;

ZORICK, F ;

SICKLESTEEL, J ;

ROEHRS, T ;

WITTIG, R ;

ROTH, T .

CHEST, 1985, 88 (03) :385-387

[4] AIRWAY AREA BY ACOUSTIC REFLECTIONS MEASURED AT THE MOUTH [J].

FREDBERG, JJ ;

WOHL, MEB ;

GLASS, GM ;

DORKIN, HL .

JOURNAL OF APPLIED PHYSIOLOGY, 1980, 48 (05) :749-758

[5] SURGICAL-CORRECTION OF ANATOMIC ABNORMALITIES IN OBSTRUCTIVE SLEEP-APNEA SYNDROME - UVULOPALATOPHARYNGOPLASTY [J].

FUJITA, S ;

CONWAY, W ;

ZORICK, F ;

ROTH, T .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1981, 89 (06) :923-934

[6]

GUILLEMINAULT C, 1989, EUR RESPIR J, V2, P604

[7]

HAPONIK EF, 1983, AM REV RESPIR DIS, V127, P221

[8] UPPER AIRWAY CLOSING PRESSURES IN SNORERS [J].

ISSA, FG ;

SULLIVAN, CE .

JOURNAL OF APPLIED PHYSIOLOGY, 1984, 57 (02) :528-535

[9] CURRENT SURGICAL CONCEPTS FOR TREATING OBSTRUCTIVE SLEEP-APNEA SYNDROME [J].

RILEY, RW ;

POWELL, N ;

GUILLEMINAULT, C .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1987, 45 (02) :149-157

[10]

RIVLIN J, 1984, AM REV RESPIR DIS, V129, P355

← 1 →