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Snoring Surgery

Snoring Surgery  打鼾手術

 

What is Obstructive Sleep Apnea?  什么是阻塞性呼吸暫停的睡眠?

Obstructive Sleep Apnea is stoppages in breathing during sleep due to obstruction of the upper airway. The obstruction of the airway can be due to a blocked now, thick palate, big tonsils/adenoids, and/or a big tongue.

阻塞性呼吸暫停的睡眠是由於睡眠时上呼吸道梗阻导致的呼吸停頓现象。呼吸道的阻塞可能是因为鼻腔受阻,上颚变厚,扁桃體/腺樣體增大亦或有大舌头。

 

What is Snoring?  什么打鼾

Snoring is due to the vibration of the tissues in the mouth and oral cavity (namely the soft palate, uvula, base of tongue and other soft tissues). Snoring implies an increased resistance to the inflow of air during breathing at the level of the upper airways. Snoring may arise from sinus problems, palate thickness and a big tongue.

打鼾是由於嘴巴和口腔内的肌肉组织(即軟颚,小舌,舌底和其他軟組織)的振動造成的。打鼾意味著上呼吸道的部份在呼吸时更加抗拒空氣的流入。打鼾也有可能是因为鼻窦,上颚厚度和大舌頭导致的问题。

 

What is Snoring / Sleep Apnea Surgery?  什麼是打鼾/睡眠呼吸暫停手術?

These comprise of surgery to the nose, palate and/or tongue.

手術的部份包括鼻子,上颚亦或舌頭。

 

Nose  鼻子

The nose is physiologically essential in breathing, any swelling within the nose needs to be corrected in order for normal breathing to be restored.

鼻子是呼吸的基本生理构造,任何鼻腔内的腫脹都需要糾正以便恢復正常的呼吸。

Nose surgery also helps reduce snoring and obstructive sleep apnea to a good extent (especially if done together with other procedures, like palate or tongue surgery).

鼻子手術也有助於減輕打鼾和阻塞性呼吸暫停的睡眠到某一个良好的程度(特別是跟其他手术如上颚或舌頭的程序一起进行)。

Type of nose surgery depends on the pathology of the nose, in general, a crooked nose septum will be corrected and enlarged sinus turbinates can be reduced.

鼻子手術的類型取決於鼻子的病理,一般上,弯曲的鼻腔隔膜会被矫正,肿大的鼻竇鼻甲可以缩小。

Different methods are available (not all are mentioned here). One example would be the radiofrequency of the inferior sinus turbinates (this procedure is simple, minimal pain, quick and has minimal side-effects).

有不同的方法可用(这里不尽述)。譬如劣質鼻窦鼻甲的射频疗法(這個過程簡單快速,疼痛最小,副作用也最少)。

 

Palate  上颚

Palate surgery is essential to reduce snoring and enlarge the oral airway (this may include a tonsillectomy if the tonsils are enlarged). Approximately 70% of most snoring arise from the palate. Surgery to the palate will reduce snoring and obstructive sleep apnea.

上颚手術是基本的,可以減少打鼾和擴大口腔呼吸道(如果扁桃體擴大就有可能包括扁桃體切除術,)。大约70%的打鼾问题出自上颚。上颚的手術將減少打鼾和阻塞性睡眠时的呼吸暫停现象。

There are different types of palate surgery available (variations depend on the palate anatomy) (not all are mentioned here).

这里也有几种不同的上颚手術可用(因上腭的骨形结构而定)(这里不尽述)。

In general, reconstruction of the palate is needed to expand and enlarge the oral cavity airway. The Pang’s Expansion Pharyngoplasty has been shown to improve snoring and sleep apnea in over 80% of patients.

一般上,重建上腭时需要擴大和张大口腔的呼吸道。龐氏擴咽成形术已经在超過80%的患者身上证明有改善打鼾及睡眠呼吸暫停的现象。

 

Tongue  舌頭

Patients with big tongues and small oral cavities will inevitably have narrow airways that obstruct during their sleep leading to obstructive sleep apnea.

大舌头以及口腔呼吸道小的患者难免会有狭窄的呼吸道容易造成阻塞,導致睡眠时的阻塞性呼吸暫停现象。

These patients might need to have some form of tongue volume reduction (e.g. radiofrequency reduction) or tongue suspension suture (to support the tongue and prevent it from falling backwards during sleep).

這些患者可能需要有某種形式的缩小舌头体积(如射頻的缩小法)或者懸吊舌头的縫合(用来支撑舌頭防止它在睡眠时向後仰)。

There are different types of tongue surgery (not all are mentioned here).

舌头手术也分好几种(这里不尽述)。

 

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Translated by > BlogHost

Word Count > approx. 420 words in English

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