Abstract:
:Obstructive sleep apnea (OSA) is a disorder characterized by repetitive, episodic collapse of the pharyngeal airway. Over the last two decades, understanding of the pathophysiology of sleep disordered breathing, which includes OSA, has improved. Once thought to be predominately related to anatomic constriction of the maxillomandibular complex, central nervous system regulation of breathing is now recognized as a significant contributor to the pathogenesis of OSA. Ventilator control, the central response to chemoreceptor phenomena, has important implications for oral and maxillofacial surgeons who treat OSA, particularly for patients who appear refractory to treatment with maxillomandibular advancement (MMA). The purpose of this article is to review the biomechanics of the upper airway as it relates to the pathophysiology of OSA, to discuss emerging concepts of ventilator control mechanisms in normal sleep versus sleep-disordered breathing and to discuss the concept of complex sleep apnea, a new category of sleep disordered breathing with both obstructive and central features.
journal_name
Int J Oral Maxillofac Surgjournal_title
International journal of oral and maxillofacial surgeryauthors
Susarla SM,Thomas RJ,Abramson ZR,Kaban LBdoi
10.1016/j.ijom.2010.09.007subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1149-59issue
12eissn
0901-5027issn
1399-0020pii
S0901-5027(10)00400-5journal_volume
39pub_type
杂志文章,评审abstract::Dislocation of the mandibular condyle into the middle cranial fossa is extremely rare. The authors present a case of superior dislocation of left condyle into the middle cranial fossa. The dislocated condyle was reduced successfully and then a flap of temporal muscle and a thin titanium network were used to repair the...
journal_title:International journal of oral and maxillofacial surgery
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abstract::Hypoplastic-hypocalcified enamel of all permanent teeth and dysplasia of finger- and toe-nails were found in a 17-year-old Japanese male. Physical examination revealed no remarkable changes in skin, hair, sweat glands, bones, etc. Family history revealed the same abnormalities of teeth and nails in his mother's brothe...
journal_title:International journal of oral and maxillofacial surgery
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journal_title:International journal of oral and maxillofacial surgery
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journal_title:International journal of oral and maxillofacial surgery
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journal_title:International journal of oral and maxillofacial surgery
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journal_title:International journal of oral and maxillofacial surgery
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journal_title:International journal of oral and maxillofacial surgery
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doi:10.1016/j.ijom.2006.03.028
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journal_title:International journal of oral and maxillofacial surgery
pub_type: 杂志文章
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journal_title:International journal of oral and maxillofacial surgery
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2018-09-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.ijom.2011.10.021
更新日期:2012-03-01 00:00:00
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