Tuberculosis and Respiratory Diseases
- Volume 45 Issue 2
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- Pages.457-464
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- 1998
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
Herbst Oral Appliance for Obstructive Sleep Apnea When Uvulopalatopharyngoplasty and Nasal CPAP Failed
구개수구개인두성형술 및 지속적 기도 양압 공급치료에 실패하였으나 Herbst 구강내 장치로 효과를 보인 폐쇄성 수면 무호흡 증후군 1예
- Moon, Hwa-Sik (Department of Internal Medicine, College of Medicine, the Catholic University of Korea) ;
- Choi, Young-Mee (Department of Internal Medicine, College of Medicine, the Catholic University of Korea) ;
- Kim, Myung-Lip (Department of Orthodontics, College of Medicine, the Catholic University of Korea) ;
-
Park, Young-Hak
(Department of Otolaryngology, College of Medicine, the Catholic University of Korea) ;
-
Kim, Young-Kyoon
(Department of Internal Medicine, College of Medicine, the Catholic University of Korea) ;
- Kim, Kwan-Hyoung (Department of Internal Medicine, College of Medicine, the Catholic University of Korea) ;
- Song, Jeong-Sup (Department of Internal Medicine, College of Medicine, the Catholic University of Korea) ;
- Park, Sung-Hak (Department of Internal Medicine, College of Medicine, the Catholic University of Korea)
- 문화식 (가톨릭대학교 의과대학 내과학교실) ;
- 최영미 (가톨릭대학교 의과대학 내과학교실) ;
- 김명립 (가톨릭대학교 의과대학 치과학교실) ;
-
박영학
(가톨릭대학교 의과대학 이비인후과학교실) ;
-
김영균
(가톨릭대학교 의과대학 내과학교실) ;
- 김관형 (가톨릭대학교 의과대학 내과학교실) ;
- 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
- 박성학 (가톨릭대학교 의과대학 내과학교실)
- Published : 1998.04.30
Abstract
This report describes a 5-month follow-up of the efficacy of Herbst oral appliance(OA) in a obstructive sleep apnea syndrome patient who has failed with uvulopalatopharyngoplasty(UPPP) and was unable to tolerate to subsequent nasal continuous positive airway pressure(CPAP) because of mouth air leak. The obstructive sleep apnea and daytime performance were markedly improved by regular home use of OA, and the patient still continues to use OA without complications. It is suggested that OA can be a successful alternative therapeutic modality in patients who are unable to tolerate to nasal CP AP, especially after UPPP.
폐쇄성 수면 무호흡 증후군 (obstructive sleep apnea syndrome)의 치료를 위하여 구개수구개인두성형술(uvulopalatopharyngoplasty) 시행하였으나 효과가 없었고, 수술후 시행한 비강을 통한 지속적 기도 양압 공급치료(continuous positive airway pressure : CPAP) 에서는 5cm
Keywords
- Obstructive sleep apnea syndrome;
- Oral appliance;
- uvulopalatopharyngoplasty;
- Continuous positive airway pressure