A three-dimensional airway assessment for the treatment of snoring and/or sleep apnea with jaw repositioning intraoral appliances: a case study.
A three-dimensional airway assessment for the treatment of snoring and/or sleep apnea with jaw repositioning intraoral appliances: a case study.
复制标题
使用下颌重新定位口内矫治器治疗打鼾和/或睡眠呼吸暂停的三维气道评估：案例研究。
DOI：
10.1080/08869634.1996.11745986
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Stephen D. Smith
中科院分区：
文献类型：
--
作者：
Stephen D. Smith
这项鼾症/睡眠呼吸暂停研究的目的是评估呼吸道的3-D磁共振成像(MRI)与颌骨重置/口腔内矫治器设计相关的作用。利用这项技术，结合诊断基线和后续睡眠研究/多导睡眠图，给出了一个临床病例。在设计颌骨复位矫治器之前，基线多导睡眠图显示呼吸紊乱指数(RDI)为每小时21.5次呼吸暂停/呼吸暂停。使用口腔内定位矫治器的随访睡眠研究显示，每小时RDI为3.9，RDI减少/改善82%。进行磁共振、TMJ和呼吸道成像。MRI增强的呼吸道评估计算机软件程序分析了从硬/软腭交界处到会厌的三维体积和横截面积的变化。图像包括口咽部、鼻咽部和下咽部的局部解剖。未安装下颌定位装置的基线显示，总气道容量为5801.31立方mm，而安装下颌定位装置后，总气道容量增加至8657.22立方mm，总容量增加32%。气道改善最大的部位是软腭垂中/鼻咽区，舌根前移。与传统的多导睡眠图一样，三维磁共振气道成像应该被认为是评估睡眠呼吸暂停患者的诊断程序。强调了联合医疗/牙科团队方法的必要性。
The purpose of this snoring/sleep apnea study was to assess the role of 3-D magnetic resonance imaging (MRI) of the airway correlated to jaw reposturing/intraoral appliance design. A clinical case is presented utilizing this technology, integrating a diagnostic baseline and follow-up sleep study/ polysomnograph. The baseline polysomnography, prior to jaw repositioning appliance design, indicated a respiratory disturbance index (RDI) of 21.5 hypopnea/apneas per hour. The follow-up sleep study, with use of an intraoral repositioning appliance, showed a 3.9 per hour RDI, an 82% RDI reduction/improvement. Magnetic resonance TMJ and airway images were done. The MRI enhanced airway assessment computer software program analyzed the 3-dimensional volume and cross sectional area changes from hard/soft palate junction to epiglottis. Imaged were the oropharynx nasopharynx and hypopharynx regional anatomy. The baseline, without mandibular positioning device, showed a total airway volume of 5,801.31 cubic mm, whereas with the mandibular positioning device in place, the total airway volume was increased to 8,657.22 cubic mm or a total increased volume of 32%. The largest improvement site in the airway was the mid-soft palatal uvula/nasopharynx region, with base of tongue moving forward. Along with traditional polysomnography, 3-dimensional MRI airway imaging should be considered as a diagnostic procedure in assessing sleep apnea patients. The necessity of a combined medical/dental team approach is emphasized.
登录
查看更多内容
影响因子：
158.5
作者：
YOUNG, T;PALTA, M;BADR, S
通讯作者：
BADR, S
DOI：
10.1164/ajrccm/148.3.606
发表时间：
1993-09-01
期刊：
AMERICAN REVIEW OF RESPIRATORY DISEASE
影响因子：
--
作者：
MORRISON, DL;LAUNOIS, SH;REMMERS, JE
通讯作者：
REMMERS, JE
使用牙科矫形器治疗打鼾和阻塞性睡眠呼吸暂停。
影响因子：
9.6
作者：
Schmidt-Nowara,WW;Meade,TE;Hays,MB
通讯作者：
Hays,MB
影响因子：
9.6
作者：
STOOHS, RA;BINGHAM, LA;DEMENT, WC
通讯作者：
DEMENT, WC
通过口鼻罩进行 CPAP 治疗阻塞性睡眠呼吸暂停。
影响因子：
9.6
作者：
Sanders,MH;Kern,NB;Stiller,RA;StrolloJr,PJ;Martin,TJ;AtwoodJr,CW
通讯作者：
AtwoodJr,CW