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Technology on sleep surgery
Sleep and Biological Rhythms ( IF 1.0 ) Pub Date : 2020-03-04 , DOI: 10.1007/s41105-020-00261-1
Wei Zhao , Lianhua Zhao , Yuanqing Zhao , Zaiyu Guo , Jialiang Guo , Cunguo Lin , Rayleigh Ping-Ying Chiang

Sleep-disordered breating (SDB), including obstructive sleep apnea–hypopnea syndrome (OSAS) is a clinical syndrome mainly characterized by recurrent upper airway collapse during sleep, which leads to snoring, respiratory disturbance, sleep interruption, hypoxemia, and subsequent chronic diseases. The options for intervention of OSAS include continuous positive airway pressure (CPAP), sleep surgery, body weight reduction, and so on. In the past decades, technology has had a huge impact on the diagnosis and treatment of sleep disorders. We reviewed the literature of recent years and summarized the progress of technology in sleep surgery. Computer-assisted algorithm and airway fluid dynamics have been facilitating the airway evaluation of patients with SDB. Accurate measurement of the obstruction plane and extent of the upper airway are helpful for targeted surgery. Wearable devices and smart bedding make patient monitoring more convenient and comfortable. Technology is making surgical procedures less invasive and allowing patients who don't tolerate CPAP to improve symptoms and/or experience remission.

中文翻译:

睡眠手术技术

睡眠呼吸障碍(SDB),包括阻塞性睡眠呼吸暂停-低通气综合征(OSAS),是一种临床综合征,主要以睡眠时上呼吸道反复塌陷为主要特征,导致打鼾、呼吸障碍、睡眠中断、低氧血症和随后的慢性疾病。OSAS的干预选择包括持续气道正压通气(CPAP)、睡眠手术、减重等。在过去的几十年里,技术对睡眠障碍的诊断和治疗产生了巨大的影响。我们回顾了近年来的文献,总结了睡眠外科技术的进展。计算机辅助算法和气道流体动力学一直在促进 SDB 患者的气道评估。准确测量阻塞平面和上气道范围有助于靶向手术。可穿戴设备和智能床上用品使患者监护更加方便和舒适。技术使外科手术的侵入性更小,并使不耐受 CPAP 的患者能够改善症状和/或获得缓解。
更新日期:2020-03-04
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