Treatment Modalities for Sleep-Disordered Breathing and Palatal Muscle Resection
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(Treatment Modalities for Sleep-Disordered Breathing) and Palatal Muscle Resection)

 

Æó¼â¼º ¼ö¸é¹«È£ÈíÁõ(obstructive sleep apnea: OSA)Àº ÃÖ±Ù º´Å»ý¸®°¡ Á» ´õ È®ÀεǸ鼭 Áß¿äÇÑ °Ç°­»óÀÇ ¹®Á¦·Î ´ëµÎµÇ°í ÀÖ´Ù. ¿ì¸®³ª¶ó¿¡¼­ OSAÀº Àü Àα¸ÀÇ 3~5%·Î ¾Ë·ÁÁ® ÀÖ´Â ¸Å¿ì ÈçÇÑ Áúº´ÀÌ¸ç ³ªÀÌ°¡ µé¼ö·Ï, ³²ÀÚ¿¡¼­, ºñ¸¸Àϼö·Ï ±× À¯º´·üÀÌ ³ô¾ÆÁüÀ» º¸°íÇÏ°í ÀÖ´Ù. Çö´ë»çȸ´Â °¥¼ö·Ï ³ë·ÉÈ­, ºñ¸¸È­°¡ °¡¼ÓÈ­µÇ¸é¼­ OSA´Â ´õ ÈçÇÑ Áúº´ÀÌ µÇ°í ÀÖ´Ù. ±¹Á¦ ¼ö¸éÀå¾ÖºÐ·ù (International Classification of Sleep Disorders, ICSD)¿¡ ÀÇÇÑ ¼ö¸é È£Èí Àå¾Ö (sleep related breathing disorders: SRBD)¿¡¼­ ´ëÇ¥Àû SRBD´Â OSA¿Í ÄÚ°ñÀÌ(snoring)·Î ºÐ·ùÇÏ°í ÀÖ´Ù.

 

OSA Ä¡·á´Â Áõ»óÀÇ ½ÉÇÑ Á¤µµ, ÀÓ»óÀû ÇÕº´ÁõÀÇ Á¤µµ, ±âµµÆó¼âÀÇ ¿øÀκÎÀ§¿¡ µû¶ó °áÁ¤µÇ¸ç Ä¡·á¹æ¹ýÀ¸·Î´Â ºñ¼ö¼úÀû Ä¡·á¹æ¹ý(Non-operative treatment modalities)°ú ¼ö¼úÀû Ä¡·á(Operative treatment modalities)·Î Å©°Ô ³ª´©¾î ±¸ºÐÇÒ ¼ö ÀÖ´Ù. ¸¸¿ª ¼ö¼úÀÇ ¼º°ø°¡´É¼ºÀÌ ³ôÀº °æ¿ì¿¡´Â ¼ö¼úÀÌ ¿ì¼±Àû Ä¡·á¹æ¹ýÀ¸·Î ±Ç°íµÇÁö¸¸, ±×·¸Áö ¾ÊÀ» °æ¿ì¿¡´Â, »ó±âµµ ¾ç¾Ð¿ä¹ý(Continuous Positive Airway Pressure: CPAP), ±¸°­ ³» ÀåÄ¡(oral appliance: OA) µîÀÇ Ä¡·á¹æ¹ýÀÌ ±Ç°íµÈ´Ù.

 

¹Ì±¹¿¡¼­´Â 2014³â¿¡ CPAP¿¡ ½ÇÆÐÇÑ È¯ÀÚµéÀ» ´ë»óÀ¸·Î ¼³ÇϽŰæ ÀÚ±ØÄ¡·á (Hypoglossal nerve stimulation: HGNS)°¡ Àӻ󿬱¸°á°ú¸¦ °ÅÃÄ OSAȯÀÚ¿¡°Ô Àû¿ëÇÒ ¼ö »õ·Î¿î Ä¡·á¹ýÀ¸·Î ¹Ì±¹ ½ÄÇ°ÀǾ౹(FDA (the American Food and Drug Administration: FDA)ÀÇ ½ÂÀÎÀ» ¹Þ¾Æ »ç¿ëµÇ°íÀÖ´Ù. ¿ì¸®³ª¶ó¿¡¼­´Â 2016³â Çѱ¹º¸°ÇÀǷῬ±¸¿ø(national Evidence-based Healthcare Collaborating Agency: NECA)¿¡¼­ ±¸°³±Ù ÀýÁ¦¼ú(Palatal Muscle Resection)ÀÌ ¼ö¸éÈ£ÈíÀå¾Ö ȯÀÚ¿¡°Ô ¼ö¸éÀå¾Ö¸¦ °³¼±½Ãų ¼ö ÀÖ´Â ±â¼ú¿¡ ´ëÇÑ ¾ÈÁ¤¼º ¹× À¯È¿¼º Æò°¡°ËÁõÀ» ½Ç½ÃÇÏ¿´À¸³ª ÀÔÁõÇÒ ¸¸ÇÑ ¿¬±¸°á°ú°¡ ºÎÁ·ÇÏ¿© ¿¬±¸°¡ ´õ ÇÊ¿äÇÑ ´Ü°èÀÇ Ä¡·á¹ýÀ¸·Î Æò°¡µÇ¾ú´Ù(±Ç°íµî±Þ D, ±â¼úºÐ·ù II-a). À̹ø KCT´Â Æó¼â¼º ¼ö¸é¹«È£ÈíÁõ (obstructive sleep apnea )À» Æ÷ÇÔÇÑ ´Ù¾çÇÑ ¼ö¸éÈ£ÈíÀå¾Ö°ü·Ã (Treatment Modalities for Sleep-Disordered Breathing) Ä¡·á¹æ¹ý¿¡ ´ëÇØ ¼Ò°³ÇÏ°íÀÚ ÇÑ´Ù.

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