Could mandibular fractures lead to obstructive sleep apnea?

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-07-01 Epub Date: 2021-10-08 DOI:10.1080/08869634.2021.1989178

Mohammad Waheed El-Anwar, Sherif Askar, Yehia Aly Abou Shab, Ameer Abdul Monem Abou Sharkh

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Abstract

Objective: To detect and assess obstructive sleep apnea (OSA) before and after repair of different types of mandibular fractures.

Methods: In patients with traumatic isolated mandibular fractures who were indicated for open reduction and internal fixation (OR/IF), polysomnography (PSG) was done before and 3 months after surgery.

Results: Of 51 patients (80 mandibular fractures), fractures were unilateral in 29 patients (56.9%) and bilateral in 22 patients (43.1%). PSG was normal in 33 patients (64.7%), and OSA was detected in 18 cases (35.3%); all had bilateral fracture. Mild OSA was reported in 9 cases (17.65%), and moderate OSA was detected in 9 cases (17.65%). Three months after OR/IF of the fractures, successful reduction was obtained, and PSG was within normal limits in all patients.

Conclusion: Bilateral mandibular fractures often lead to OSA, which could be cured with proper OR/IF of the fractures. OSA is not encountered in unilateral fractures.

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下颌骨骨折会导致阻塞性睡眠呼吸暂停吗？

目的：检测和评估不同类型下颌骨骨折修复前后的阻塞性睡眠呼吸暂停（OSA）：检测和评估不同类型下颌骨骨折修复前后的阻塞性睡眠呼吸暂停（OSA）：方法：对有开放复位内固定术（OR/IF）指征的创伤性孤立下颌骨骨折患者，在术前和术后 3 个月进行多导睡眠监测（PSG）：在 51 例患者（80 例下颌骨骨折）中，29 例患者（56.9%）为单侧骨折，22 例患者（43.1%）为双侧骨折。33 名患者（64.7%）的 PSG 正常，18 名患者（35.3%）发现 OSA，所有患者均为双侧骨折。9例（17.65%）报告有轻度OSA，9例（17.65%）发现有中度OSA。骨折手术/内固定术后三个月，所有患者均成功复位，PSG均在正常范围内：结论：双侧下颌骨骨折通常会导致 OSA，通过适当的手术/内固定骨折可以治愈 OSA。单侧骨折不会导致 OSA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.