Hypopharyngeal airway surgery
Hypopharyngeal airway surgery
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DOI：
10.1016/j.otc.2007.04.009
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发表时间：
2007-08-01
影响因子：
1.7
通讯作者：
Li, Kasey K.
中科院分区：
文献类型：
--
作者：
Li, Kasey K.
阻塞性睡眠呼吸暂停（OSA）是睡眠期间上呼吸道阻塞的结果。下咽气道阻塞可由舌根、咽侧壁、偶尔由杓状会厌皱襞或会厌的突出或松弛引起。尽管经鼻持续气道正压通气 (CPAP) 被认为是阻塞性睡眠呼吸暂停的首选治疗方法，但对于不耐受正压治疗的患者来说，手术已被证明是一种可行的选择。本文介绍了治疗睡眠呼吸暂停的下咽手术的现状。讨论了使用纤维鼻咽镜进行术前气道评估、侧位头影测量X光片的使用以及手术计划的制定和选择的手术来解决下咽阻塞问题。
Obstructive sleep apnea (OSA) is the result of upper airway obstruction during sleep. Hypopharyngeal airway obstruction can be caused by the prominence or relaxation of the base of the tongue, lateral pharyngeal wall, and occasionally, the aryepiglottic folds or epiglottis. Although nasal continuous positive airway pressure (CPAP) is considered as the first treatment for obstructive sleep apnea, surgery has been shown to be a viable option for patients who are intolerant of positive pressure therapy. This article presents the current state of hypopharyngeal surgery for sleep apnea. Preoperative airway evaluation with fiberoptic nasopharyngoscopy, the use of lateral cephalometric radiograph, and the formulation of a surgical plan with selection of procedures to address hypopharyngeal obstruction are discussed.