数字化多学科联合治疗骨性Ⅱ类高角伴阻塞性睡眠呼吸暂停低通气综合征成年患者1例

doi:10.13591/j.cnki.kqyx.2022.09.011

口腔医学 ›› 2022, Vol. 42 ›› Issue (9): 824-830.doi: 10.13591/j.cnki.kqyx.2022.09.011

数字化多学科联合治疗骨性Ⅱ类高角伴阻塞性睡眠呼吸暂停低通气综合征成年患者1例

沈奕洋¹, 冯筱妍¹, 张晨星², 李娟¹, 林军¹

1.浙江大学医学院附属第一医院口腔正畸科,浙江杭州(310003);
2.杭州市第一人民医院口腔科,浙江杭州(310003)

修回日期:2022-05-26 出版日期:2022-09-28 发布日期:2022-09-20
通讯作者: 林军 Tel:(0571)87236338 E-mail:junlin2@126.com
基金资助:
国家自然科学基金(81970978);浙江省自然基金(LY22H140006)

Digital multidisciplinary treatment of an adult patient with high-angle skeletal Class Ⅱ malocclusion and obstructive sleep apnea hypopnea syndrome

SHEN Yiyang, FENG Xiaoyan, ZHANG Chenxing, LI Juan, LIN Jun

Department of Orthodortics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Revised:2022-05-26 Online:2022-09-28 Published:2022-09-20

摘要/Abstract

摘要： 骨性Ⅱ类的患者常伴有不同程度的气道问题,如阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea and hypopnea syndrome,OSAHS)。该文报道1例数字化多学科联合治疗骨性Ⅱ类高角伴有OSAHS及双侧颞下颌关节不可复性盘前移位的成年男性患者病例。治疗后患者的OSAHS症状改善明显,同时小颌畸形得以纠正,面部软组织侧貌也得到了改善,关节症状得到控制。该病例显示数字化指导呼吸内科-口腔颌面外科-口腔正畸科的多学科联合治疗对该类患者可以达到良好的治疗效果。

关键词: OSAHS, 正畸-正颌联合治疗, 颞下颌关节紊乱综合征

Abstract: Patients with skeletal Class Ⅱ often have airway problems in varying degrees, such as obstructive sleep apnea and hypopnea syndrome (OSAHS). This article reports a case of an adult male patient with osseous high-angle Class Ⅱ combined with OSAHS and bilateral temporomandibular joint anterior disc displacement without reduction treated with digital multidisciplinary treatment. After treatment, the patient′s OSAHS symptoms improved significantly. His micrognathia was corrected; facial soft tissue profile was also improved, and joint symptoms were controlled. This case shows that digital-guided multidisciplinary treatment combining respiratory medicine, oral and maxillofacial surgery and orthodontics, can achieve good therapeutic effects on this kind of patients.

Key words: OSAHS, orthodontic-orthognathic surgery treatment, temporomandibular joint disorder

中图分类号:

R783.5

沈奕洋, 冯筱妍, 张晨星, 李娟, 林军. 数字化多学科联合治疗骨性Ⅱ类高角伴阻塞性睡眠呼吸暂停低通气综合征成年患者1例[J]. 口腔医学, 2022, 42(9): 824-830.

SHEN Yiyang, FENG Xiaoyan, ZHANG Chenxing, LI Juan, LIN Jun. Digital multidisciplinary treatment of an adult patient with high-angle skeletal Class Ⅱ malocclusion and obstructive sleep apnea hypopnea syndrome[J]. Stomatology, 2022, 42(9): 824-830.

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数字化多学科联合治疗骨性Ⅱ类高角伴阻塞性睡眠呼吸暂停低通气综合征成年患者1例

Digital multidisciplinary treatment of an adult patient with high-angle skeletal Class Ⅱ malocclusion and obstructive sleep apnea hypopnea syndrome

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