[Different rapid maxillary expansion methods in the treatment of adult patients with obstructive sleep apnea hypopnea syndrome]

Zhonghua Kou Qiang Yi Xue Za Zhi. 2023 Feb 9;58(2):196-200. doi: 10.3760/cma.j.cn112144-20220825-00460.
[Article in Chinese]


Obstructive sleep apnea hypopnea syndrome (OSAHS) is a common sleep respiratory disorder characterized by upper respiratory collapse during sleep, with a high prevalence and potentially fatal complications. Currently, maxillary transverse deficiency are considered to be an important pathogenic factor of OSAHS. For patients with poor compliance with positive airway pressure therapy, rapid maxillary expansion can increase the volume and ventilation of the upper respiratory tract, which is an alternative treatment. This paper reviewed the current research on surgically assisted rapid palatal expansion, miniscrew assisted rapid palatal expansion, and distraction osteogenesis maxillary expansion in the treatment of adult OSAHS. By comparing the indications, contraindications, complications, efficacy and long-term stability of the three treatment methods, it provided reference for treatment of patients with OSAHS.

阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)是一种常见的睡眠呼吸疾病,其患病率高,有潜在的致死性并发症。目前,上颌横向缺陷被认为是OSAHS的重要致病因素,对持续气道正压通气疗法依从性不佳的患者,上颌快速扩弓可增加上呼吸道容积及通气量,是一种替代治疗方法。本文就外科辅助上颌快速扩弓、种植体支抗辅助上颌快速扩弓、牵张成骨辅助上颌扩弓治疗成人OSAHS的研究现状进行综述,通过对比3种术式的适应证、禁忌证、并发症、疗效及其长期稳定性,为临床治疗方案的选择提供参考。.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adult
  • Humans
  • Nose
  • Palatal Expansion Technique*
  • Palate
  • Sleep Apnea, Obstructive* / surgery
  • Syndrome