Craniomaxillofacial bone frame reconstruction for patients with obstructive sleep apnea-hypopnea syndrome

Abstract

Abstract: Obstructive sleep apnea-hypopnea syndrome(OSAHS)is a common disease. Craniomaxillofacial bone hypoplasia, obese, mass in the upper airway, dysfunction of upper airway dilator muscles and central respiratory disorders may result in the diseases. Surgical treatment is the main and effective method for management of OSAHS, which includes two manners: craniomaxillofacial bone frame reconstruction and reduction of soft tissue around upper airway. The former can achieve stable results by craniomaxillar bone expand or advancement, but may lead to profile change and more trauma; while the later provides more spaces by means of resection of soft tissues around the upper airway, such as tongue and soft palate, etc, which means some function will be impaired or lost.

Key words: OSAHS, Craniomaxillofacial bone, Frame reconstruction

CLC Number:

R782.2

LU Xiao-feng. Craniomaxillofacial bone frame reconstruction for patients with obstructive sleep apnea-hypopnea syndrome[J]. China Journal of Oral and Maxillofacial Surgery, 2014, 12(2): 99-106.

References

[1] Owens RL, Eckert DJ, Yeh SY, et al. Upper airway function in the pathogenesis of obstructive sleep apnea: a review of the current literature [J]. Curr Opin Pulm Med, 2008, 14(6): 519-524.
[2] Akahoshi T, White DP, Edwards JK, et al. Phasic mechanoreceptor stimuli can induce phasic activation of upper airway muscles in humans[J]. J Physiol,2001,531(Pt 3): 677-691.
[3] White DP. Pathogenesis of obstructive and central sleep apnea[J]. Am J Respir Crit Care Med, 2005, 172(11): 1363-1370.
[4] Gorlin RJ, Cohen MM, Hennekam JR. Syndromes of the head and neck [M]. New York: Oxford University Press, 2001.
[5] Jones KL. Recognizable patterns of human malformation [M]. 6th Ed. Philadelphia: Elsevier Saunders, 2006.
[6] Hoeve LJ, Pijpers M, Joosten FM. OSAS in craniofacial syndromes: an unsolved problem [J]. Int J Pediatr Otorhinolaryngol, 2003, 67(Suppl 1): 111-113.
[7] Hein A, Schweitzer T, Strabburg HM, et al. Diagnosis and therapy of obstructive sleep apnea syndrome in children with premature craniosynostosis syndromes[J]. Klin Padiatr,2011,223(7): 424-429.
[8] Shepard JW Jr, Gefter WB, Guilleminault C, et al. Evaluation of the upper airway in patients with obstructive sleep apnea [J]. Sleep, 1991, 14(4): 361-371.
[9] Lowe AA, Ono T, Ferguson KA, et al. Cephalometric comparisons of craniofacial and upper airway structure by skeletal subtype and gender in patients with obstructive sleep apnea [J]. Am J Orthod Dentofacial Orthop, 1996, 110(6): 653-664.
[10] Djupeslound G, Lyberg T, Kregstad O. Cephalometric analysis and surgical treatment of patients with obstructive sleep apnea. A priliminary report[J]. Acta Otolaryngol,1987,103(5-6): 551-557.
[11] 卢晓峰, 邱蔚六, 唐友盛, 等. TMJ强直患者头影测量与阻塞性睡眠呼吸暂停综合征关系的初步分析 [J]. 中华口腔医学杂志, 1997, 45(4): 9-12.
[12] Lu XF, Qiu WL, Tang YS, et al. Cephalometric analysis in patients of TMJ ankylosis with obstructive sleep apnea syndrome [J]. Chin J Dent Res, 1998, 1(1): 59-65.
[13] 卢晓峰, 徐竹梅, 朱敏, 等. 肥胖伴OSAHS患者X线头影测量研究 [J]. 中国口腔颌面外科杂志, 2003, 1(4): 196-199.
[14] 王翰章, 周学东. 中华口腔科学(口外正畸卷) [M]. 北京: 人民卫生出版社, 2009.
[15] 张震康, 张熙恩, 傅民魁. 正颌外科学 [M]. 北京: 人民卫生出版社, 1992.
[16] 夏炯,王东风,黄远亮,等.正颌外科电脑模拟手术系统的研究 [J]. 中华整形烧伤外科杂志, 1994, 10(4): 278-281.
[17] Austin RE, Antonyshyn OM. Current applications of 3-d intraoperative navigation in craniomaxillofacial surgery: a retrospective clinical review [J]. Ann Plast Surg, 2012, 69(3): 271-278.
[18] McCarthy JG, Schreiber J, Karp N, et al. Lengthening of the human mandible by gradual distraction [J]. Plast Renconstr Surg, 1992, 89(1): 1-8.
[19] 卢晓峰. 阻塞性睡眠呼吸暂停低通气综合征的正颌外科及牵引成骨治疗 [J]. 中华口腔医学杂志, 2005, 40(1): 13-15.
[20] Booth PW, Schendel SA, Hausamen JE. Maxillofacial surgery [M]. 2nd Ed. London: Churchill Livingstone Elservier, 2007.
[21] Nout E, Bannink N, Koudstaal MJ, et al. Upper airway changes in syndromic craniosynostosis patients following midface or monobloc advancement: correlation between volume changes and respiratory outcome [J]. J Craniomaxillofac Surg, 2012, 40(3): 209-214.
[22] Mattar SE, Anselmo-Lima WT, Valera FC, et al. Skeletal and occlusal characteristics in mouth-breathing pre-school children [J]. J Clin Pediatr Dent, 2004, 28(4): 315-318.
[23] Pellan P. Naso-respiratory impairment and development of dento-skeletal sequelae: a comprehensive review [J]. Int J Orthod Milwaukee, 2005, 16(3): 9-12.
[24] Gary LP, Brogan WF. Septal deformity malocclusions and rapid maxillary expansion [J]. Orthodontist, 1972, 4(1): 2-14.
[25] Coeugniet E, Dhellemmes P, Vinchon M, et al. Midfacial distraction without osteotomy using a transfacial pin and external devices [J]. J Craniofac Surg, 2012, 23(1): 184-189.
[26] 邱蔚六, 潘家琛, 潘可风, 等. 颞下颌关节真性强直伴重度呼吸障碍的同期手术处理 [J].中华口腔科杂志,1985,33(3):154-156.
[27] 卢晓峰, 邱蔚六, 唐友盛, 等. 颞颌关节强直续发OSAS外科治疗的进一步探讨 [J]. 上海口腔医学, 1998, 7(1): 12-16.
[28] 卢晓峰, 唐友盛, 沈国芳, 等. 颌骨畸形伴阻塞性睡眠呼吸暂停低通气综合征的牵引成骨治疗[J]. 中华耳鼻咽喉科杂志, 2003, 38 (3): 166-171.
[29] Riley R, Powell N, Guilleminault C. Current surgical concepts for treating obstructive sleep apnea syndrome [J]. J Oral Maxillofac Surg, 1987, 45(2): 149-157.
[30] 卢晓峰, 唐友盛, 沈国芳, 等. 肥胖伴OSAHS患者计算机辅助设计的手术治疗[J]. 中国口腔颌面外科杂志,2003,1(4):200-204.
[31] 卢晓峰, 朱敏, 王兵. 阻塞性睡眠呼吸障碍的现代外科诊疗理念 [J]. 中国口腔颌面外科杂志, 2012, 10(1): 72-77.
[32] 卢晓峰, 朱敏, 何建德, 等. 悬雍垂腭咽成形术与双颌前徙术联合治疗阻塞性睡眠呼吸暂停低通气综合征的初步报告 [J]. 中华口腔医学杂志, 2007, 42(4): 199-202.
[33] 卢晓峰, 唐友盛, 李青云, 等. 计算机辅助设计的定量UPPP手术及其评价 [J]. 中国口腔颌面外科杂志, 2003, 1(3): 138-142.
[34] Thompson SH, Quinn M, Helman JI, et al. Maxillomandibular distraction osteogenesis advancement for the treatment of obstructive sleep apnea [J]. J Oral Maxillofac Surg, 2007, 65(7): 1427-1429.