OSAHS咽侧壁成形及相关手术进展

黄靖妍; 张湘民

doi:10.13201/j.issn.1001-1781.2018.02.017

OSAHS咽侧壁成形及相关手术进展

黄靖妍,
张湘民^,

- 中山大学附属第六医院睡眠呼吸障碍专科(广州, 510000)
基金项目:
广东省省级科技计划项目（No：2014A020215010）

详细信息

通讯作者: 张湘民,E-mail:zhang_ent@163.com

中图分类号: R563.8

收稿日期: 2017-11-17

The development of techniques served to widen the lateral velopharyngeal space for treating OSAHS

HUANG Jingyan,
ZHANG Xiangmin^,

More Information

Corresponding author: ZHANG Xiangmin, E-mail: zhang_ent@163.com

Received Date: 17 November 2017

摘要

- 睡眠呼吸暂停,阻塞性 /
- 咽侧壁 /
- 咽成形术 /
- 外科手术
Abstract: Since Fujita first described uvulopalatopharyngoplasty (UPPP) in 1981, UPPP and its modified procedures have been widely used to treat obstructive sleep apnea and hyponea syndrome (OSAHS). However, despite of its wide application, the success rates was uncertain, ranging from 20% to 80%, with patients of varing Friedman stages. It is well known that the principle of UPPP is to remove the redundant tissue of palate,elongated uvula and hypertrophic tonsils in order to widen the anteroposterior space at the level of palate. But recently, surgeons have found that not only the collapse of soft palate but also the collapse of lateral wall at the palate level can contribute to the obstruction of upper airway at the level of palate. As a result, many surgeries which can widen the lateral velopharyneal space have sprung up in these years. This review focuses on the development of techniques that emphasize the enlargement of lateral velopharyneal space in patients with OSAHS.
- sleep apnea, obstructive /
- lateral wall of pharynx /
- pharyngoplasty /
- surgical procedures, operative

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