{"id":1168,"date":"2025-03-03T14:48:32","date_gmt":"2025-03-03T06:48:32","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=1168"},"modified":"2026-08-31T18:46:13","modified_gmt":"2026-08-31T10:46:13","slug":"case14","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/zh\/case\/case14\/","title":{"rendered":"\u505a\u8fc7\u62d4\u7259\u77eb\u6b63\uff0c\u56e0\u4e3a\u547c\u5438\u4e2d\u6b62\u518d\u505a\u6b63\u989a\u624b\u672f"},"content":{"rendered":"<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">\u672f\u524d\u75c7\u72b6<\/td><td class=\"has-text-align-center\" data-align=\"center\">\u624b\u672f\u8ba1\u753b<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>\u4e2d\u5ea6<\/strong>\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u3001\u4e0b\u5df4\u53ca\u4e0b\u989a\u540e\u7f29<\/td><td class=\"has-text-align-center\" data-align=\"center\">3D\u5ba2\u5236\u5316\u6b63\u989a\u624b\u672f\u3001\u4e0b\u5df4\u524d\u79fb\u624b\u672f\u3001\u591a\u5c42\u6b21\u547c\u5438\u9053\u62d3\u5bbd<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd9\u4f4d\u60a3\u8005\u4e4b\u524d\u5c31\u505a\u8fc7\u4e00\u6b21\u62d4\u7259\u77eb\u6b63\uff0c\u4f46\u540e\u6765\u5979\u53d1\u73b0\u5979\u6709\u7684\u95ee\u9898\u53ca\u56f0\u6270\uff0c\u8fdc\u8d85\u8fc7\u7259\u9f7f\u662f\u5426\u6574\u9f50\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd9\u4e00\u6b21\u5979\u662f\u7531\u7761\u7720\u4e13\u79d1\u7259\u533b\u5e08\u8f6c\u8bca\u5230\u672c\u4e2d\u5fc3\uff0c\u4e3b\u8981\u662f\u60f3\u89e3\u51b3\u5979\u4e25\u91cd\u7684\u767d\u5929\u55dc\u7761\u53ca\u7761\u89c9\u65f6\u7684\u6253\u547c\u95ee\u9898\uff0c\u7ecf\u8fc7\u7761\u7720\u68c0\u67e5\uff0c\u8bca\u65ad\u51fa\u6709\u4e2d\u5ea6\u7684\u7761\u7720\u547c\u5438\u4e2d\u6b62(AHI=19.4)\uff0c\u7535\u8111\u65ad\u5c42\u4e5f\u663e\u793a\uff0c\u5979\u7684\u547c\u5438\u9053\u72ed\u7a84\uff0c\u662f\u6765\u81f3\u4e8e\u4e0b\u989a\u9aa8\u7684\u4e25\u91cd\u540e\u7f29\u800c\u538b\u8feb\u540e\u54bd\u58c1(posterior airway space)\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5728\u6574\u4f53\u8003\u91cf\u5230\u5979\u7684\u7761\u7720\u547c\u5438\u4e2d\u6b62\u7684\u660e\u663e\u75c7\u72b6(\u55dc\u7761\u3001\u6253\u547c)\u3001\u75c5\u56e0(\u9aa8\u9abc\u72ed\u7a84\u3001\u7a7a\u95f4\u4e0d\u8db3)\u3001\u5979\u5bf9\u5916\u89c2\u53ca\u54ac\u5408\u5173\u7cfb\u7684\u671f\u5f85\uff0c\u6211\u4eec\u4e3a\u5979\u8bbe\u8ba1\u4e0a\u4e0b\u989a\u9aa8\u9006\u65cb\u524d\u79fb\u7684\u6b63\u989a\u624b\u672f(MMA: maxillo-mandibular advancement)\uff0c\u540c\u65f6\u62d3\u5bbd\u547c\u5438\u9053\u53ca\u6539\u5584\u5916\u89c2\u3001\u54ac\u5408\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672f\u540e\u7684\u7259\u9f7f\u77eb\u6b63\u7531\u8f6c\u8bca\u533b\u5e08\u7528\u9690\u9002\u7f8e(Invisilign)\u6cbb\u7597\u3002\u672f\u540e\u534a\u5e74\u7761\u7720\u68c0\u67e5\u7ed3\u679cAHI=1.4\uff0c\u5df2\u964d\u4f4e\u5230\u6b63\u5e38\u72b6\u6001\uff0c\u6253\u547c\u53ca\u55dc\u7761\u7684\u75c7\u72b6\u6d88\u5931\uff0c\u5979\u4e5f\u66f4\u559c\u6b22\u672f\u540e\u81ea\u5df1\u7684\u6837\u5b50\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This patient had previously undergone four teeth extraction and orthodontic treatment, but later discovered that her issues and discomfort extended far beyond the alignment of her teeth. This time, she was referred to our center by a sleep specialist dentist, primarily to address her severe daytime sleepiness and severe snoring problems. After a sleep study, she was diagnosed with moderate sleep apnea (AHI=19.4). A CT scan also showed that her airway was narrowed due to severe mandibular retrusion, which compressed the posterior airway space. Considering her significant symptoms of obstructive sleep apnea (sleepiness, snoring), the underlying facial skeleton abnormality, and her expectations regarding facial appearance and occlusion, we designed a maxillo-mandibular advancement (MMA) surgery for her. This procedure simultaneously opens up the airway and improves appearance and occlusion. Postoperative orthodontic treatment was carried out by the referring doctor using Invisalign. Six months after the surgery, sleep study showed an AHI of 1.4, which is within the normal range. Her snoring and sleepiness symptoms disappeared, and she is quite satisfied with her appearance after the surgery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u624b\u672f\u524d\u540e\u5bf9\u6bd4\u7167<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-2.jpeg\" alt=\"\u4e0b\u989a\u540e\u7f29\u5973\u6027\u60a3\u8005\u6b63\u989a\u624b\u672f\u524d\u540e\u6b63\u9762\u5916\u89c2\u5bf9\u6bd4\" class=\"wp-image-1170\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-2.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-2-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-2-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-3.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u6b63\u9762\u5fae\u7b11\u4e0e\u9f7f\u5217\u5916\u89c2\u5bf9\u6bd4\" class=\"wp-image-1171\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-3.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-3-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-3-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-4.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e45\u5ea6\u659c\u9762\u5916\u89c2\u5bf9\u6bd4\" class=\"wp-image-1172\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-4.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-4-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-4-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-5.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e45\u5ea6\u659c\u9762\u5fae\u7b11\u5916\u89c2\u5bf9\u6bd4\" class=\"wp-image-1173\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-5.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-5-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-5-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-6.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u4fa7\u9762\u4e0b\u5df4\u4e0e\u9888\u90e8\u7ebf\u6761\u5bf9\u6bd4\" class=\"wp-image-1174\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-6.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-6-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-6-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-7.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u4fa7\u9762\u5fae\u7b11\u8f6e\u5ed3\u5bf9\u6bd4\" class=\"wp-image-1175\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-7.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-7-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-7-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-8.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u53e3\u5185\u6b63\u9762\u54ac\u5408\u4e0e\u9f7f\u5217\u5bf9\u6bd4\" class=\"wp-image-1176\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-8.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-8-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-8-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u65ad\u5c42\u626b\u63cf<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-9.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u9885\u989c\u9aa8\u9abc\u4e0e\u54ac\u5408\u5e73\u9762\u89d2\u5ea6\u76843D\u65ad\u5c42\u5bf9\u6bd4\" class=\"wp-image-1177\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-9.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-9-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-9-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-10.jpeg\" alt=\"\u6b63\u989a\u624b\u672f\u524d\u540e\u547c\u5438\u9053\u7acb\u4f53\u65ad\u5c42\u5bf9\u6bd4\uff0c\u672f\u540e\u547c\u5438\u9053\u7531\u72ed\u9698\u53d8\u4e3a\u62d3\u5bbd\" class=\"wp-image-1178\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-10.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-10-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-10-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u7761\u7720\u547c\u5438\u4e2d\u6b62\u6307\u6570<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-11.jpeg\" alt=\"\u672f\u524d\u5c45\u5bb6\u7761\u7720\u68c0\u6d4b\u62a5\u544a\uff0cAHI 19.4\u5224\u5b9a\u4e3a\u4e2d\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\" class=\"wp-image-1179\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-11.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-11-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-11-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"676\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-12.jpeg\" alt=\"\u672f\u540e\u5c45\u5bb6\u7761\u7720\u68c0\u6d4b\u62a5\u544a\uff0cAHI\u964d\u81f31.4\" class=\"wp-image-1180\" title=\"\" srcset=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-12.jpeg 1200w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-12-768x433.jpeg 768w, https:\/\/www.mch-osa.com\/wp-content\/uploads\/case14-12-18x10.jpeg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>","protected":false},"excerpt":{"rendered":"<p>\u8fd9\u4f4d\u60a3\u8005\u4e4b\u524d\u5c31\u505a\u8fc7\u4e00\u6b21\u62d4\u7259\u77eb\u6b63\uff0c\u4f46\u540e\u6765\u5979\u53d1\u73b0\u5979\u6709\u7684\u95ee\u9898\u53ca\u56f0\u6270\uff0c\u8fdc\u8d85\u8fc7\u7259\u9f7f\u662f\u5426\u6574\u9f50\u3002<br \/>\n\u8fd9\u4e00\u6b21\u5979\u662f\u7531\u7761\u7720\u4e13\u79d1\u7259\u533b\u5e08\u8f6c\u8bca\u5230\u672c\u4e2d\u5fc3\uff0c\u4e3b\u8981\u662f\u60f3\u89e3\u51b3\u5979\u4e25\u91cd\u7684\u767d\u5929\u55dc\u7761\u53ca\u7761\u89c9\u65f6\u7684\u6253\u547c\u95ee\u9898\uff0c\u7ecf\u8fc7\u7761\u7720\u68c0\u67e5\uff0c\u8bca\u65ad\u51fa\u6709\u4e2d\u5ea6\u7684\u7761\u7720\u547c\u5438\u4e2d\u6b62(AHI=19.4)\uff0c\u7535\u8111\u65ad\u5c42\u4e5f\u663e\u793a\uff0c\u5979\u7684\u547c\u5438\u9053\u72ed\u7a84\uff0c\u662f\u6765\u81f3\u4e8e\u4e0b\u989a\u9aa8\u7684\u4e25\u91cd\u540e\u7f29\u800c\u538b\u8feb\u540e\u54bd\u58c1(posterior airway space)\u3002<br \/>\n\u5728\u6574\u4f53\u8003\u91cf\u5230\u5979\u7684\u7761\u7720\u547c\u5438\u4e2d\u6b62\u7684\u660e\u663e\u75c7\u72b6(\u55dc\u7761\u3001\u6253\u547c)\u3001\u75c5\u56e0(\u9aa8\u9abc\u72ed\u7a84\u3001\u7a7a\u95f4\u4e0d\u8db3)\u3001\u5979\u5bf9\u5916\u89c2\u53ca\u54ac\u5408\u5173\u7cfb\u7684\u671f\u5f85\uff0c\u6211\u4eec\u4e3a\u5979\u8bbe\u8ba1\u4e0a\u4e0b\u989a\u9aa8\u9006\u65cb\u524d\u79fb\u7684\u6b63\u989a\u624b\u672f(MMA: maxillo-mandibular advancement)\uff0c\u540c\u65f6\u62d3\u5bbd\u547c\u5438\u9053\u53ca\u6539\u5584\u5916\u89c2\u3001\u54ac\u5408\u3002<br \/>\n\u672f\u540e\u7684\u7259\u9f7f\u77eb\u6b63\u7531\u8f6c\u8bca\u533b\u5e08\u7528\u9690\u9002\u7f8e(Invisilign)\u6cbb\u7597\u3002\u672f\u540e\u534a\u5e74\u7761\u7720\u68c0\u67e5\u7ed3\u679cAHI=1.4\uff0c\u5df2\u964d\u4f4e\u5230\u6b63\u5e38\u72b6\u6001\uff0c\u6253\u547c\u53ca\u55dc\u7761\u7684\u75c7\u72b6\u6d88\u5931\uff0c\u5979\u4e5f\u66f4\u559c\u6b22\u672f\u540e\u81ea\u5df1\u7684\u6837\u5b50\u3002<\/p>","protected":false},"author":20,"featured_media":1169,"template":"","class_list":["post-1168","case","type-case","status-publish","has-post-thumbnail","hentry"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":8}},"acf":[],"_links":{"self":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/case\/1168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/case"}],"about":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/types\/case"}],"author":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/users\/20"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/media\/1169"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/media?parent=1168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}