¼ö¸éÈ£ÈíÀå¾Ö Ä¡·á¿Í ±¸°³±Ù ÀýÁ¦¼ú
(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®ÀÎµÇ¸é¼ 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.