Journal of Korean Dental Association

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J Korean Dent Assoc. 2019;57(5):279-287. Published online May 31, 2019.
DOI: https://doi.org/10.22974/jkda.2019.57.5.003
수면 무호흡증 환자의 수술적 치료에 대한 고찰
김원재1, 권용대2
1경희대학교 치과대학병원 구강악안면외과
2경희대학교 치과대학병원 구강악안면외과
Surgical treatment for the obstructive sleep apnea : A review
Weon Jae Kim1, Yong Dae Kwon2
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University
2Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University
Abstract
Obstructive sleep apnea syndrome (OSAS) is characterized by obstructive events of the upper airway (UAW) during sleep, which can be associated with clinical signs and symptoms such as snoring, excessive daytime sleepiness, impaired memory, and fatigue. It is associated with many problems like psychosocial problems, physiologic alterations in the cardiovascular and respiratory systems as a result of hypoxia and repeated awakenings during sleep. Conservative treatments such as weight loss, sleep positioning, improvement of sleep hygiene, CPAP and MAD can be performed for the obstructive sleep apnea. However, their effect for the OSA is limited and differs by patient's individual properties. Accordingly, surgical reconstructions of the upper airway must be carried out for the treatment of OSA.

Keywords :obstructive sleep apnea;sleep surgery;OSA surgical treatment;genioglossus advancement;uvulopalatoplasty;tonsillectomy;HGNS;MMA;

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