Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate

被引：44
|
作者：
Liu, Stanley Yung-Chuan [1 ]
Guilleminault, Christian [2 ]
Huon, Leh-Kiong [3 ,4 ]
Yoon, Audrey [5 ]
机构：
[1] Stanford Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Div Sleep Surg, Stanford, CA 94305 USA
[2] Stanford Univ, Stanford Outpatient Med Ctr, Sleep Med Div, Redwood City, CA USA
[3] Cathay Gen Hosp, Dept Otolaryngol Head & Neck Surg, Taipei, Taiwan
[4] Fu Jen Catholic Univ, Sch Med, Taipei, Taiwan
[5] Univ Calif Los Angeles, Sect Pediat Dent, Sch Dent, 10833 Le Conte Ave,CHS 20-137, Los Angeles, CA 90095 USA
来源：
OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2017年 / 157卷 / 02期
关键词：
obstructive sleep apnea; nasal obstruction; high arched palate; maxillary expansion; distraction osteogenesis; mini-implant assisted rapid maxillary expander; bone-borne maxillary expander; rapid palatal expander;
D O I：
10.1177/0194599817707168
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
A narrow maxilla with high arched palate characterizes a phenotype of obstructive sleep apnea (OSA) patients that is associated with increased nasal resistance and posterior tongue displacement. Current maxillary expansion techniques for adults are designed to correct dentofacial deformity. We describe distraction osteogenesis maxillary expansion (DOME) tailored to adult patients with OSA with narrow nasal floor and high arched palate without soft tissue redundancy. DOME is performed with placement of maxillary expanders secured by mini-implants along the midpalatal suture. This minimizes the maxillary osteotomies necessary to re-create sutural separation for reliable expansion at the nasal floor and palatal vault. We report the safety and efficacy profile of the first 20 patients at Stanford who underwent DOME.
引用
收藏
页码：345 / 348
页数：4
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