›› 2017, Vol. 37 ›› Issue (9): 861-864.

• 综述 • 上一篇    

阻塞性睡眠呼吸暂停综合征伴有安氏Ⅱ类错畸形的治疗进展

戴琳璐,潘劲松   

  1. 上海交通大学附属第一人民医院
  • 收稿日期:2016-04-13 修回日期:2016-06-09 出版日期:2017-09-28 发布日期:2017-09-22
  • 通讯作者: 潘劲松 E-mail:pip003@163.com

Treatment progress of obstructive sleep apnea syndrome accompanied by Class Ⅱ malocclusion

  • Received:2016-04-13 Revised:2016-06-09 Online:2017-09-28 Published:2017-09-22

摘要: [摘要] 阻塞性睡眠呼吸暂停低通气综合征(OSAS)是一种病因不明的睡眠呼吸疾病,临床表现有夜间睡眠打鼾伴呼吸暂停和白天嗜睡,其直接发病机制为上气道的狭窄和阻塞。安氏II类错颌畸形中存在上气道口咽段结构性狭窄,OSAS 患者尤其是非肥胖型患者都有较明显的II类矢状骨面型高角的颅颌面特征。口腔矫治器的应用能够在治疗错颌畸形的同时改善气道狭窄,被认为是OSAS的一种有效治疗方法。本文将陈述阻塞性睡眠呼吸暂停综合征目前常用的治疗方法,为伴安氏II类错颌畸形的治疗提供指导性意见。

关键词: 气道, 阻塞性睡眠呼吸暂停综合症, 安氏II类错颌畸形, 治疗方法

Abstract: [Abstract] OSAS, a conventional sleep-related breathing disorder, is characterized by repetitive upper airway obstructions and disruptive snoring during sleep, including excessive daytime sleepiness, neurocognitive dysfunction, cardiovascular disorders, metabolic dysfunction, and impaired mood and quality of life, usually along with malocclusion. Oropharyngeal airway structural segment stenosis exists in Angle Class II malocclusion. OSAS patients, especially in obese patients, apparently have craniofacial characteristics of high angle of Class Ⅱ sagittal facial type. Improving of malocclusion and modifying of pharyngeal patency by oral appliance therapy have been suggested as an alternative to various treatment modalities for OSAS. These modalities applied in treating malocclusion and OSAS can be effective. Thus, in this review, we represent several methods in treatment and therapeutic efficacy of OSAS, in addition, illustrate the morphological changes of pharyngeal airway passage and relieving symptoms of OSAS in order to provide some constructive suggestion to the future treatment of OSAS with malocclusion.

Key words: pharyngeal airway, OSAS, Class II malocclusion, modalities

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