OGS for obstructive sleep apnea (Semin Orthod 2019; 25:218–229)
Stanford protocol
Phase 1 surgery consisted of multiple procedures to address obstructive areas all along the upper respiratory tract; nasal and palatal procedures for the nasopharynx, genio- glossus advancement procedures for oropharynx, and hyoid suspension procedures for hypophar- ynx and Phase 2 surgery was maxillomandibular advancement and became known as the Stanford Protocol of Surgical Management of OSA.
According to the Stanford Protocol, Phase I surgery was completed first and the patient reevaluated 6 months later. In the situation of an insufficient response to Phase 1 surgery as determined as an AHI/RDI reduction by 50% or less than 5, Phase 2 surgery would then be recommended.
Early clinical papers using reduction in the apnea-hypopnea index (AHI) or respiratory disturbance index (RDI) and nadir (lowest) oxygen saturation (nO2) levels from overnight sleep studies revealed a stunning success in the phase 2 with a greater than 90% success.
This was a game changing event that eventually resulted in maxillofacial surgeons, orthodontist and the entire profession of dentistry becoming primary movers for the surgical treatment of OSA.
#gamechanger #sleepanea #수면무호흡 #구강악안면외과 #Stanford #OMS #양악 #orthognathic #치과교정
이 글은 네이버 블로그에서 가져온 글입니다. 원문: blog.naver.com/surgeon
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