폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할
Comprehensive treatment of obstructive sleep apnea - The role of department of dentistry in sleep clinic
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Abstract
The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.
참고문헌 (23)
- "Indications and standards for use of nasal continuous positive airway pressure", pp.1738~45 (1994)
- "Practice parameters for the indications for polysomnography and related procedures", 20, pp.406~422 (1997)
- "Oral appliances for the treatment of snoring and obstructive sleep apnea", schmidt-(wara w)
- "Sleep-related breathing disorders in adults Recommendations for syndrome definition and measurement techniques in clinical research The report of an American Academy of Sleep Medicine Task Force", 22, pp.668~689 (1999)
- "Mortality and apnea index in obstructive sleep apnea Experience in 385 male patients", pp.9~14
- "Sites of Obstruction in Obstructive Sleep Apnea", 122, pp.1139~1147 (2002)
- "The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research", 28, pp.193~213 (1989)
- "Quantification of sleepiness", pp.431~436 (1973)
- "A new method for measuring daytime sleepiness:the Epworth Sleepiness Scale", 14, pp.540~545 (1991)
- "Clinical predictors of obstructive sleep apnea", 109, pp.1901~1907 (1999)
- "폐쇄성 수면 무호흡증에 있어 두부 규격 방사선 계측학적 기여 인자", 29 (2003)
- "Obstructive apnea and body weight", 85, pp.435~438 (1984)
- "Standards of Practice Committee of the American Academy of Sleep Medicine Practice parameters for the use of auto-titrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome An American Academy of Sleep Medicine report", 25, pp.143~147 (2002)
- "Practice parameters for the treatment of obstructive sleep apnea in adults the efficacy of surgical modifications of the upper airway Report of the American Sleep Disorders Association", 19, pp.152~155 (1996)
- "폐쇄성수면무호흡환자의 상하악전방이동술 전후의 두부계측방사선사진에서 산출한 기도직경 상기도 공간의 기류저항과 호흡방해지수 변화와의 연관성", 27, pp.157~161 (2001)
- "Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances", 18, pp.511~513 (1995), American Sleep Disorders Association
- "The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome", 19, pp.156~177 (1996)
- "Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome:uvulopalatopharyngoplasty", 89, pp.923~34 (1981)
- "Simple predictors of uvulopalatopharyngoplasty outcome in the treatment of obstructive sleep apnea", 118, pp.1025~1030 (2000)
- "Obstructive sleep apnea syndrome:a review of 306 consecutively treated surgical patients", 108, pp.117~25 (1993)
- "Relationship between cephalometric characteristics and obstructive sites in obstructive sleep apnea syndrome", 72, pp.124~134 (2002)
- "Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea", 98, pp.226~34 (1988)
- "Obstructive sleep apnea and cephalometric roentgenograms:the role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep", 93, pp.1199~1205 (1988)
