폐쇄성 수면 무호흡증의 치료
Treatment of obstructive sleep apnea syndrome
김봉균, 박미숙, 이준길, 조경안,
소속 상세정보
김봉균 ( ) - 조선대학교 치과대학 구강악안면외과학교실
박미숙 ( ) - 조선대학교 치과대학 구강악안면외과학교실
이준길 ( ) - 조선대학교 치과대학 구강악안면외과학교실
조경안 ( ) - 조선대학교 치과대학 구강악안면외과학교실
KMID : 0353320010250010217
Abstract
Obstructive sleep apnea syndrome (OSAS) is characterized repeated collapse of the upper airway, producing hypopnea, apnea, and ultimately, oxygen desaturation of hemoglobin.
The major characteristics of OSAS are male predominance, obesity, hypersomnolence, and excessive snoring. Patients suffer deterioration of memory and judgement, irritability, morning headache, sexual dysfunction, and personality changes. Psychologic changes involving the cardiopulmonary system occur and may lead to life-threatening events.
The presurgical evaluation includes nocturnal polysomnography, clinical examination, radiologic evaluation, and fiberoptic endoscopy.
The current surgical procedures used for OSAS are tracheostomy, tonsillectomy, adenoidectomy, nasal surgery (septoplasty, partial turbinectomy), tongue reduction, uvulopalatopharyngoplasty (UPPP), anterior sagittal osteotomy of the mandible with hyoid myotomy and suspension, and maxillary, mandibular and hyoid advancement.
Selection of the surgical procedure is based upon the severity of the sleep apnea, presence of a skeletal deficiency, presence of morbid obesity, and anatomic site of the obstructive process.
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