ÄÚ°ñÀÌ ¹× ¼ö¸é ¹«È£Èí Ä¡·á¸¦ À§ÇÑ ¸¶ÀÌÅ©·Î ÀÓÇÁ¶õÆ®¸¦ ÀÌ¿ëÇÑ ÇϾǰñ ÀüÁø¼ú
Microimplant mandibular advancement (MiMA) therapy for the treatment of snoring and obstructive sleep apnea (OSA)
Korean Journal of Orthodontics 2010³â 40±Ç 2È£ p.115 ~ p.126
(Ngiam Joachim) - °æºÏ´ëÇб³ Ä¡°ú´ëÇÐ ±³Á¤Çб³½Ç
°æÈñ¹®(Kyung Hee-Moon) - °æºÏ´ëÇб³ Ä¡°ú´ëÇÐ ±³Á¤Çб³½Ç
Abstract
ÀÌ Áõ·Êº¸°í´Â ½ÉÇÑ ¼ö¸é¹«È£ÈíÁõÀ¸·Î Áø´ÜµÈ ȯÀÚ·Î, ´Ù¸¥ ±¸° ³» OSAÄ¡·á ÀåÄ¡¿Í nCPAPÄ¡·á¿¡ ÀûÀÀÀ» ¸øÇÏ´Â 66¼¼ ³²ÀÚ È¯ÀÚ¿´´Ù. ÇϾǰñ¿¡ 2°³ÀÇ ±³Á¤¿ë ¸¶ÀÌÅ©·Î ÀÓÇÁ¶õÆ®¸¦ ½Ä¸³ÇÑ ÈÄ, ½Ä¸³ 2ÁÖ ÈĺÎÅÍ ±¸°¿Ü °íÁ¤¿øÀÎ °³Á¶µÈ ¾È¸é¸¶½ºÅ©¿¡¼ ¸¶ÀÌÅ©·Î ÀÓÇÁ¶õÆ®¿¡ ÈûÀ» °¡ÇÏ¿© ÇϾǰñÀ» ÀüÁø½ÃÄ×´Ù. ¸¶ÀÌÅ©·Î ÀÓÇÁ¶õÆ®¸¦ ÀÌ¿ëÇÑ ÇϾǰñÀüÁø¼ú(MiMA)Àº ½ÉÇÑ ¼ö¸é ¹«È£ÈíȯÀÚÀÇ AHI (apnea-hypopnea index), ÄÚ°ñÀÌ ¹× ½ÉÇÑ ¼ö¸é ¹«È£ÈíÁõ»óÀ» °³¼±ÇÒ ¼ö ÀÖ¾ú´Ù.
This case report describes the treatment of a 66 year old adult patient with a diagnosis of severe obstructive sleep apnea who was intolerant of nasal continuous positive airway pressure (nCPAP) treatment and oral appliance therapy. An alternative treatment of snoring and obstructive sleep apnea (OSA) with 2 orthodontic microimplants anchored to the mandible providing skeletal anchorage for mandibular advancement was implemented. After a 2 week healing period, a custom designed facemask provided extraoral anchorage to which the microimplants were connected to for titratable mandibular advancement. Microimplant Mandibular Advancement (MiMA) therapy resulted in resolution of the symptoms of severe OSA with a reduction of the apnea-hypopnea index (AHI), snoring and OSA symptoms.
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¼ö¸é¹«È£Èí, ¸¶ÀÌÅ©·Î ÀÓÇÁ¶õÆ®, ÇϾǰñ ÀüÁø
Severe obstructive sleep apnea, Microimplant, Mandibular advancement
KMID :
0361920100400020115
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À¯È¿¼º°á°ú(Recomendation)
Microimplant Mandibular Advancement (MiMA) therapy resulted in resolution of the symptoms of severe OSA with a reduction of the apnea-hypopnea index (AHI), snoring and OSA symptoms.