폐쇄성 수면무호흡환자에서 확대 구개수구개피판을 이용한 치험례

• 영문명: The treatment of obstructive sleep apnea patient using extended uvulopalatal flap: a case report
• 발행기관: 대한구강악안면외과학회
• 저자명: 김지연(Ji-Youn Kim) 김성민(Soung-Min Kim) 명 훈(Hoon Myoung) 황순정(Soon-Jung Hwang) 서병무(Byoung-Moo Seo)이종호(Jong-Ho Lee) 정필훈(Pill-Hoon Choung) 김명진(Myung-Jin Kim) 최진영(Jin-Young Choi)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제37권 제1호, 81~85쪽, 전체 5쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2011.02.28

영문 초록

The uvulopalatal flap (UPF) technique is a modification of uvulopalatopharyngoplasty (UPPP) for the surgical treatment of obstructive sleep apnea. In the UPF technique, an uvulopalatal flap is fabricated and sutured to the residual mucosa of the soft palate to expand the antero-posterior dimensions of the oropharyngeal inlet. In the extended uvulopalatal flap (EUPF) technique, an incision at the tonsillar fossa is added to the classical UPF technique followed by the removal of mucosa and submucosal adipose tissue for additional expansion of the lateral dimension. The EUPF technique is more conservative and reversible than UPPP. Therefore, complications, such as velopharyngeal insufficiency, dysphagia, dryness, nasopharyngeal stenosis and postoperative pain, are reduced. In the following case report, the patient was diagnosed with obstructive sleep apnea and treated with the EUPF technique. The patient’s total respiratory disturbance events per hour (RDI) was decreased to 15.4, the O 2 saturation during the sleep was increased, and the excessive daytime sleepiness had disappeared after the surgery without complications. The authors report this case with a review of the relevant literature.

목차

Ⅰ. 서 론

Ⅱ. 증례보고

Ⅲ. 고 찰

키워드

Extended uvulopalatal flap Obstructive sleep apnea Uvula Treatment outcome Surgical flaps