閉塞性睡眠時無呼吸症を伴う上顎欠損患者にオーラルアプライアンスを適用し，2年の経過観察をした1症例

DOI
  • 渡邉 真央
    東京医科歯科大学（TMDU）大学院医歯学総合研究科医歯学専攻顎顔面頸部機能再建学講座顎顔面補綴学分野
  • 乙丸 貴史
    東京医科歯科大学（TMDU）大学院医歯学総合研究科医歯学専攻顎顔面頸部機能再建学講座顎顔面補綴学分野
  • 李 娜
    東京医科歯科大学（TMDU）大学院医歯学総合研究科医歯学専攻顎顔面頸部機能再建学講座顎顔面補綴学分野
  • 秀島 雅之
    東京医科歯科大学（TMDU）歯学部附属病院快眠歯科（いびき・無呼吸）外来
  • 谷口 尚
    東京医科歯科大学（TMDU）大学院医歯学総合研究科医歯学専攻顎顔面頸部機能再建学講座顎顔面補綴学分野
  • 隅田 由香
    東京医科歯科大学（TMDU）大学院医歯学総合研究科医歯学専攻顎顔面頸部機能再建学講座顎顔面補綴学分野

書誌事項

タイトル別名
  • Fabrication of the Oral Appliance and 2-year Clinical Follow Up in a Maxillectomy Patient with Obstructive Sleep Apnea: A Case Report

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抄録

A 41-year-old male underwent right maxillary bone resection and a dento-maxillary prosthesis was delivered. During maintenance, he was diagnosed with obstructive sleep apnea （OSA）, so an oral appliance （OA） was fabricated and the patient was followed up for two years.<br>The Apnea Hypopnea Index （AHI） without the dento-maxillary prosthesis （WP） was 37.9, with the dento-maxillary prosthesis （P） was 12.2, and with the OA was 1.8. After wearing the OA for two years （OA2）, AHI with OA became 15.4. Sleep stage （N2） WP was 73.0％. OA2 with OA became 62.5％. Sleep efficiency of WP was 66.8％. OA2 with OA became 96.0％. Arousal Index of WP was 18.2. OA2 with OA became 96.0.<br>The results of a sleep test showed that AHI, SpO2min, and sleep efficiency all improved by wearing the OA, and the patient was satisfied with the effects of the OA.<br>When OSA worsens, it is necessary to apply a lower jaw forward traction type OA. We will continue to check oral health and work carefully with medical doctors.

収録刊行物

  • 顎顔面補綴

    顎顔面補綴 42 (1), 45-50, 2019

    一般社団法人 日本顎顔面補綴学会

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