睡眠口腔医学
Online ISSN : 2433-8524
Print ISSN : 2188-6695
総説
顎矯正手術に伴う上気道の変化—睡眠外科としての上下顎骨前方移動術と舌骨上筋群牽引術の臨床的意義—
外木 守雄
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ジャーナル フリー

2023 年 10 巻 1 号 p. 3-15

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Obstructive sleep apnea (OSA) is a disorder of breathing during sleep that disturbs sleep, resulting in daytime sleepiness and work errors. It is also known as a disease that develops various complications including cardiovascular disease if left untreated for a long period of time. What kind of characters are likely to develop OSA? Why does moving the jawbone forward improve OSA? I have done a lot of research on this question: risk of airway reduction due to differences in maxillofacial structure; pattern of airway expansion according to maxillo-mandibular advancement (MMA); appropriate movement direction and distance of MMA; prediction of hydrodynamic airflow improvement before and after MMA surgery; and improvement of post-treatment sleep quality and changes in airway resistance using the cuff leak test. In this article, I summarize these studies in the hope that it may help researchers involved in sleep medicine in the future.
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© 2023 特定非営利活動法人日本睡眠歯科学会
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