구강내 장치를 이용한 수면 무호흡 환자의 치료 증례

• 영문명: A Case Report on Treatment of Obstructive Sleep Apnea Patient Using Intraoral Removable Appliance
• 발행기관: 대한수면의학회
• 저자명: 강국진 오강섭 이시형
• 간행물 정보: 『수면정신생리』제5권 제2호, 210~215쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1998.12.31

영문 초록

OSA(Obstructive Sleep Apnea) is a condition with repeated obstruction of the upper airway while sleeping. This obstruction of the upper airway may result if sleep-induced physiologic change in muscle activity is superimposed on various structural defects of the upper airway. Macroglossia, micrognathia, retrognathia, and decreased airway lumen have all been implicated in OSA. There are a variety of surgical and nonsurgical treatment modalities currently available for OSA. Recently the uvulopalatopharyngoplasty has achieved widespread use, but success rates vary and long-term effects are still unknown. Current nonsurgical treatment methods can be cumbersome and uncomfortable with variable responses. For this case. we diagnosed as OSA by using polysomnographic analysis and cephalometric analysis, and delivered intraoral removable appliance which is more conservative, reversible and easy to use for patient. And we got results that Apnea Index(AI) decreased from 14.4 to 3.1, Total Respiratory Disturbance Index(Total RDI) decreased from 18.1 to 7.0 and removal of chronic headache in daytime.

키워드

폐쇄성 수면 무호흡 구강내 장치 Obstructive sleep apnea Intraoral removable appliance