Mandibular distraction osteogenesis for obstructive sleep apnea syndrome OSAS
- 최초 등록일
- 2012.06.18
- 최종 저작일
- 2012.06
- 31페이지/ MS 파워포인트
- 가격 3,000원
소개글
Mandibular Distraction Osteogenesis for Pediatric Airway Management, OSAS patients
목차
1. Introduction
2. Jaw index
3. COMPLICATIONS
4. Discussion
5. Distraction for Pediatric Airway Management
본문내용
Upper airway obstruction in the neonatal period presents potentially devastating problems.
Perinatal airway obstruction varies in severity from mild, moderate, to severe, with feeding problems and the highest risk of complete obstruction and mortality possibly from cor pulmonale due to respiratory failure and resultant right-sided heart failure
신생아기의 상기도 폐색은 심각한 문제를 일으킬 수 있다.
심각도에 따라 mild한 것부터, severe한 case는 feeding problem을 야기하고, 호흡 억제에 따른 폐부전, 우심부전에까지 이를 수 있다.
<중 략>
35 consecutive children (20 boys and 15 girls) with UAO
Mean age was 3.5 months (range, 36 weeks of gestation to 4 years)
Apnea monitoring demonstrated frequent apneic episodes and oxygen desaturation (70%-80%) in all patients.
All patients had obstruction limited to the upper airway related to severe retrognathia and posterior tongue-base displacement confirmed with direct laryngoscopy (DL).
Thirteen children were fed by gastrostomy tube, and 18 patients were fed using a Dobhoff or NG tube. Of the 35 patients, 9 had a tracheostomy in place, and a tracheostomy was contemplated in 26 patients.
총 35명의 환자를 대상으로, distraction surgery 평균 나이는 3.5개월이었습니다.
모든 환자들은 oxygen desaturation을 경험했고,
Direct laryngoscopy로 확인된 upper airway obstruction을 나타내고 있었습니다.
13명의 환아가 gastrostomy tube로 먹고 있었고, 18명은 dobhoff tube로 feeding 중이었습니다.
9명은 이미 tracheotomy를 한 상태였습니다.
참고 자료
Mandibular Distraction Osteogenesis for Pediatric Airway Management , Michael Miloro, DMD, MD,
J Oral Maxillofac Surg 68:1512-23, 2010