舌体牵引与舌骨悬吊术治疗阻塞性睡眠呼吸暂停-低通气综合征中的微创外科技术

Tongue suspension and hyoid suspension/myotomy-a new minimally invasive technique for management of OSAHS

由于阻塞性睡眠呼吸暂停-低通气综合征(OSAHS)常存在上气道多平面阻塞,单纯悬雍垂腭咽成形术(UPPP)治疗效果不十分理想。近年内,一种新的微创外科技术——针对舌源性上气道阻塞而设计的舌体牵引与舌骨悬吊术,已用于OSAHS的治疗,并取得了满意的疗效,可作为UPPP手术的补充治疗。

Palatal surgery such as UPPP (uvulopalatopharyngoplasty) is effective for OSAHS (obstructive sleep apnea hypoventilate syndrome) patients with only oropharyngeal level collapse,but is not effective for OSAHS patients with multiple level collapse. In recent years, tongue suspension and hyoid suspension/myotomy ,a new minimally invasive technique anchors the tongue base to the anterior mandible with the purpose of stabilizing the tongue base during sleep, is used for management OSAHS patients with tongue base and hypopharyngeal collapse and have got satisfied results. This technique could be as second stage procedure for OSAHS patients with multiple level collapse after treated with UPPP.