Skeletal Surgery for Obstructive Sleep Apnea

被引：14
|
作者：
Barrera, Jose E. [1 ,2 ,3 ,4 ]
机构：
[1] Uniformed Serv Univ Hlth Sci, Dept Surg, Bethesda, MD 20814 USA
[2] Univ Texas Hlth Sci Ctr San Antonio, Dept Otolaryngol, San Antonio, TX 78229 USA
[3] Texas Facial Plast Surg & ENT, 14603 Huebner Rd,Bldg 1, San Antonio, TX 78209 USA
[4] Texas Facial Plast Surg & ENT, 555 East Basse Rd,Suite 201, San Antonio, TX 78209 USA
来源：
SLEEP MEDICINE CLINICS | 2018年 / 13卷 / 04期
关键词：
Obstructive sleep apnea; Surgery success; Surgery technique; Skeletal surgery; Hyoid myotomy and suspension; Genioglossal advancement; Sliding genioplasty; Maxillomandibular advancement;
D O I：
10.1016/j.jsmc.2018.07.006
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Multilevel surgery has been established as the mainstay of treatment for the surgical management of obstructive sleep apnea (OSA). Combined with uvulopalatopharyngoplasty, tongue-base surgeries, including the genioglossus advancement (GA), sliding genioplasty, and hyoid myotomy and suspension, have been developed to target hypopharyngeal obstruction. Total airway surgery consisting of maxillomandibular advancement (MMA) with/without GA has shown significant success. Skeletal procedures for OSA with or without a palatal procedure is a proven technique for relieving airway obstruction during sleep. A case study demonstrating the utility of virtual surgical planning for MMA surgery is presented.
引用
收藏
页码：549 / +
页数：11
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