KLI

한국 남성 수면무호흡 환자에서 설동맥과 혀의 위치관계 분석을 통한혀 기저부 기능 수술 시 안전 영역에 대한 연구

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Abstract
Background and Objectives Upon operation of the tongue base for obstructive sleep apneasyndrome (OSAS), the lingual artery and the hypoglossal nerve are put at risk of injury,resulting in fatal complications such as massive bleeding upon damage. We studied the courseof lingual artery in its relation with the tongue in OSAS patients and compared it with the ageand-gender-matched normal population.
Subjects and Method Korean male patients confirmed with OSAS by polysomnography,including those who had contrast-enhanced computed tomography (ceCT) of the head andneck, were defined as “OSAS group.” Patients who had their ceCT image during the samestudy period were defined as the “control group.” The control group was paired with the OSASgroup by age and sex. By using foramen cecum (FC) as the main reference point, four referencemarks were defined. For each reference point, the distance between both lingual arteriesand the depth of the lingual artery from the lingual surface of the tongue were evaluated.
Results The depth of the lingual artery from the lingual surface of the tongue in the OSASgroup (25.1±8.6 mm) was significantly different from the control (29.5±5.9 mm) at 1 cm anteriorto the FC level (p<0.014). The width of both lingual arteries was narrower in the OSASgroup (20.9±2.9) than in the control (24.3±6.1) at the FC level (p<0.003).
Conclusion The course of lingual artery and its spatial relation with the tongue in Koreanmale OSAS patients differs from the matched normal population.
Author(s)
박만준이용석정유삼최영준
Issued Date
2021
Type
Article
Keyword
Hypoglossal nerveObstructive sleep apnea
DOI
10.3342/kjorl-hns.2021.00458
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8523
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9862714&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,%ED%95%9C%EA%B5%AD%20%EB%82%A8%EC%84%B1%20%EC%88%98%EB%A9%B4%EB%AC%B4%ED%98%B8%ED%9D%A1%20%ED%99%98%EC%9E%90%EC%97%90%EC%84%9C%20%EC%84%A4%EB%8F%99%EB%A7%A5%EA%B3%BC%20%ED%98%80%EC%9D%98%20%EC%9C%84%EC%B9%98%EA%B4%80%EA%B3%84%20%EB%B6%84%EC%84%9D%EC%9D%84%20%ED%86%B5%ED%95%9C%ED%98%80%20%EA%B8%B0%EC%A0%80%EB%B6%80%20%EA%B8%B0%EB%8A%A5%20%EC%88%98%EC%88%A0%20%EC%8B%9C%20%EC%95%88%EC%A0%84%20%EC%98%81%EC%97%AD%EC%97%90%20%EB%8C%80%ED%95%9C%20%EC%97%B0%EA%B5%AC&amp;offset=0&amp;pcAvailability=true
Publisher
대한이비인후-두경부외과학회지
Location
대한민국
Language
한국어
ISSN
1225-035X
Citation Volume
64
Citation Number
9
Citation Start Page
641
Citation End Page
651
Appears in Collections:
Medicine > Medicine
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